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Contact Information

EMILY J HANSEN
755 HIGHWAY 105 STE D
PALMER LAKE, CO80133-8902
 Phone: 719-235-3504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Addiction (Substance Use Disorder)

163WA0400X
Indicates primary specialty

NPI Profile & details for EMILY J HANSEN · (Female)

NPI Number 1962074179
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2021
Last updated 07/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # RN.1638315
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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