Individual
DR. THOMAS JACK HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
702 5TH ST NW, BEMIDJI, MN 56601-2976
(218) 751-9533
(218) 444-4759
Mailing address
702 5TH ST NW, BEMIDJI, MN 56601-2976
(218) 751-9533
(218) 444-4759
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N075HA
BCBC MN
MN
01
—
230313
ACN GROUP
MN
Enumeration date
06/28/2005
Last updated
07/08/2007
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