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Contact Information

GENEVIEVE M WILKERSON HANSEN
146 N 4TH W
REXBURG, ID83440-1415
 Phone: 707-815-3858
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for GENEVIEVE M WILKERSON HANSEN · (Female)

NPI Number 1154922045
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2020
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID Medicaid A0009285
  • ID Medicaid A0009299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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