Hansen, Jace C.
Hansen, Jace C. is an sole proprietor health care provider with primary practice located at 6019 N. Eagle Rd. , Boise ID 83713. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Periodontics is his primary health care specialty. Hansen, Jace C. can be contacted via phone (208) 377-2777.Contact Information
Primary practice address
6019 N. Eagle Rd.
Boise ID 83713
Phone: (208) 377-2777
Fax: (208) 377-3075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D-4290 | Idaho |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Kentucky |
Profile Details
| NPI number | 1003027400 |
|---|---|
| LBN Legal business name | Hansen, Jace C. |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Jun 23rd, 2021 - about 3 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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