Hansell, Phyllis S

Hansell, Phyllis S is an individual health care provider with primary practice located at 1000 73Rd St Ste 5, Windsor Heights IA 50311-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hansell, Phyllis S can be contacted via phone (515) 222-1175.

Contact Information

Primary practice address
1000 73Rd St Ste 5 Windsor Heights IA 50311-1321
Fax: (515) 222-0953
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 326 Iowa

Profile Details

NPI number 1841285491
LBN Legal business name Hansell, Phyllis S
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841285491 NPPES
Iowa MEDICAID 0040428

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