Individual
JOHN C HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
8126 W LAIRD RD, BELOIT, WI 53511-8374
(608) 921-3208
Mailing address
8126 W LAIRD RD, BELOIT, WI 53511-8374
(608) 921-3208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043.062227
IL
164W00000X
Licensed Practical Nurse
Primary
28545-31
WI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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