Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1801081419 |
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| LBN Legal business name | NEAL K HANSEN | ||||||||
| Authorized official | NEAL HANSEN - (SOLE OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/07/2007 | ||||||||
| Last updated | 10/27/2011 - About 15 years ago | ||||||||
| Identifiers |
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