Hansen, Kenneth Gordon
Hansen, Kenneth Gordon is an sole proprietor health care provider with primary practice located at 218 E 800 S , Orem UT 84058. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hansen, Kenneth Gordon can be contacted via phone (801) 225-2457.Contact Information
Primary practice address
218 E 800 S
Orem UT 84058
Phone: (801) 225-2457
Fax: (801) 225-2537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1640901202 | Utah |
Profile Details
| NPI number | 1104891084 |
|---|---|
| LBN Legal business name | Hansen, Kenneth Gordon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 2nd, 2012 - about 12 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 | 1104891084 | NPPES |
| Other | 350002765 | RAILROAD MEDICARE |
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