Individual
DALE A. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S 48TH ST, STE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
PO BOX 6607, LINCOLN, NE 68506-0607
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15367
NE
207RC0000X
Cardiovascular Disease Physician
15367
NE
207RI0011X
Interventional Cardiology Physician
Primary
15367
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132470C
—
KS
05
—
1537134
—
IA
05
—
202362117
—
MO
05
—
47084496100
—
NE
05
—
7702850
—
SD
Enumeration date
08/19/2006
Last updated
03/30/2020
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