Individual
SCOTT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2165 WOODLANE DR, SUITE 102, WOODBURY, MN 55125-2916
(651) 735-9353
(651) 735-8282
Mailing address
2165 WOODLANE DR, SUITE 102, WOODBURY, MN 55125-2916
(651) 735-9353
(651) 735-8282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3994
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5378488
STATE TAX ID
MN
05
—
996448700
—
MN
Enumeration date
06/16/2006
Last updated
11/10/2008
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