Individual
ERIC E. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
04-23119
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2007014096
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119540B
—
KS
05
—
200111120A
—
OK
05
—
200449601
—
MO
01
—
219322
ANTHEM
MO
01
—
P00403959
RR MEDICARE
—
Enumeration date
03/02/2006
Last updated
11/20/2025
Update your record
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