Hansen, Kirk Richard

Hansen, Kirk Richard is an individual health care provider with primary practice located at 130 Marvin Rd Se Suite 100, Lacey WA 98503-6101. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Hansen, Kirk Richard can be contacted via phone (360) 357-9477.

Contact Information

Primary practice address
130 Marvin Rd Se Suite 100 Lacey WA 98503-6101
Phone: (360) 357-9477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X CH00001176 Washington

Profile Details

NPI number 1710060587
LBN Legal business name Hansen, Kirk Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1710060587 NPPES
Washington Other 1106388 COMM HEALTH PLAN OF WA
Washington Other 49846 COMM HEALTH PLAN OF WA
Washington MEDICAID 2015907 COMM HEALTH PLAN OF WA

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