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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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