Hansen, Craig K.
Hansen, Craig K. is an sole proprietor health care provider with primary practice located at 2620 Jackson Blvd #C, Rapid City SD 57702-3478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Craig K. can be contacted via phone (605) 341-1208.Contact Information
Primary practice address
2620 Jackson Blvd #C
Rapid City SD 57702-3478
Phone: (605) 341-1208
Fax: (605) 341-3552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2541 | South Dakota |
Profile Details
| NPI number | 1730242033 |
|---|---|
| LBN Legal business name | Hansen, Craig K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 14th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730242033 | NPPES |
| South Dakota | MEDICAID | 5601950 | |
| South Dakota | Other | 0001972 |
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