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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JACE C HANSEN, DMD, MS
6019 N. EAGLE RD.
BOISE, ID83713
 Phone: 208-377-2777
 Fax: 208-377-3075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACE C HANSEN · (Male)

NPI # 1003027400
Status Active
Credentials DMD, MS
Entity Individual
Enumeration date 05/25/2007
Last updated 10/16/2018 - About 10 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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