Individual
JOHN W HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S 48TH ST, ER DEPT, LINCOLN, NE 68506
(402) 489-0200
Mailing address
PO BOX 81406, LINCOLN, NE 68501
(800) 678-7672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20394
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04491
BCBS
NE
Enumeration date
08/10/2006
Last updated
05/16/2008
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