Hanson, Chad Jerome
Hanson, Chad Jerome is an individual health care provider with primary practice located at 401 9Th Ave Nw , Watertown SD 57201-1548. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hanson, Chad Jerome can be contacted via phone (605) 882-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0046 | South Dakota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1039 | South Dakota |
Profile Details
| NPI number | 1467517011 |
|---|---|
| LBN Legal business name | Hanson, Chad Jerome |
| Credentials | MSPT ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Mar 6th, 2024 - about 8 months 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 | 1467517011 | NPPES |
| Minnesota | Other | 93659HA | WELLMARK BCBS OF MN |
| Minnesota | Other | F246683 | WELLMARK BCBS OF MN |
| Minnesota | Other | 6405469 | WELLMARK BCBS OF MN |
| Minnesota | Other | 2438329 | WELLMARK BCBS OF MN |
| Minnesota | Other | 4995112 | WELLMARK BCBS OF MN |
| Minnesota | Other | 1039 | WELLMARK BCBS OF MN |
| Minnesota | Other | 103978 | WELLMARK BCBS OF MN |
| Minnesota | Other | 20522 | WELLMARK BCBS OF MN |
| Minnesota | MEDICAID | 5834710 | WELLMARK BCBS OF MN |
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