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Individual

MARK LOUIS HANSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1225 PAPILLION DR, PAPILLION, NE 68046-5708
(402) 593-9930
(402) 593-0310
Mailing address
18900 SWALLOW HILL PT, PLATTSMOUTH, NE 68048-7247
(402) 296-2390
(402) 593-0310

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
918
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1973222
ACS IOWA MEDICAID
NE
01
350029171
RAILROAD MEDICARE
NE
01
440042
UNITED HEALTH CARE
NE
01
9716
BCBS
NE
Enumeration date
01/20/2006
Last updated
01/19/2023
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