Hanson, Thomas Jack

Hanson, Thomas Jack is an individual health care provider with primary practice located at 702 5Th St Nw , Bemidji MN 56601-2976. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hanson, Thomas Jack can be contacted via phone (218) 751-9533.

Contact Information

Primary practice address
702 5Th St Nw Bemidji MN 56601-2976
Phone: (218) 751-9533
Fax: (218) 444-4759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1307 Minnesota

Profile Details

NPI number 1346247921
LBN Legal business name Hanson, Thomas Jack
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
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 1346247921 NPPES
Minnesota Other 1N075HA BCBC MN
Minnesota Other 230313 BCBC MN

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