Organization
NEAL K HANSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL K HANSEN (SOLE OWNER)
(907) 225-6445
Entity
Organization
Contact information
Practice address
9737 MUD BAY RD STE 102, KETCHIKAN, AK 99901-9270
(907) 225-6445
(907) 247-6445
Mailing address
PO BOX 1577, WARD COVE, AK 99928-1577
(907) 225-6445
(907) 247-6445
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
268848
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS2688
—
AK
Enumeration date
09/07/2007
Last updated
10/27/2011
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