Individual
DR. CHAD MICHAEL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1121 UPPER FRONT ST, BINGHAMTON, NY 13905-1116
(607) 761-8152
Mailing address
1121 UPPER FRONT ST, BINGHAMTON, NY 13905-1116
(607) 761-8152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012078
NY
Other
Enumeration date
10/07/2010
Last updated
10/16/2011
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