Individual
JACOB HYDE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4625 TRAIL BOSS DR, CASTLE ROCK, CO 80104-2803
(925) 449-3356
(925) 449-5229
Mailing address
4625 TRAIL BOSS DR, CASTLE ROCK, CO 80104-2803
(720) 893-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007032
CO
111N00000X
Chiropractor
DC31942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821009639
WAITING FOR MEDICARE NUMBER TO COME THROUGH
—
Enumeration date
03/14/2011
Last updated
07/21/2022
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