Individual
SCOTT A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3303C TERRACE CT, WAUSAU, WI 54401-3915
(715) 845-1331
(715) 849-2451
Mailing address
3303C TERRACE CT, WAUSAU, WI 54401-3952
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2409-012
WI
111N00000X
Chiropractor
2409-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350035318
RAILROAD MEDICARE
WI
05
—
38843000
—
WI
01
—
CJ7403
RAILROAD MEDICARE GROUP
WI
Enumeration date
09/15/2006
Last updated
12/07/2022
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