Individual
BRIAN THOMAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1920 RUE ST STE 11, COUNCIL BLUFFS, IA 51503-3601
(712) 323-6824
Mailing address
1920 RUE ST STE 11, COUNCIL BLUFFS, IA 51503-3601
(712) 323-6824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
095690
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164875092
—
NE
Enumeration date
05/16/2019
Last updated
02/02/2023
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