Jace C. Hansen in Boise - Student In An Organized Health Care Education/training Program
Jace C. Hansen - NPI 1003027400
Jace C. Hansen is a Student In An Organized Health Care Education/training Program in Boise, Idaho. Jace C. Hansen practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Jace C. Hansen is 1003027400. The last update date is 2021-06-23.
Jace C. Hansen's current location address is 6019 N. Eagle Rd., Boise, Idaho. You can contact this provider via phone number 2083772777 and fax number 2083773075. The mailing address for Jace C. Hansen is 6019 N. Eagle Rd., Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jace C. Hansen |
|---|---|
| Address | 6019 N. Eagle Rd., Boise, Idaho |
| Phone Number | 2083772777 |
| Fax Number | 2083773075 |
| Sole Proprietor | Y |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1003027400 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
| Address | 6019 N. Eagle Rd. |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83713 |
| Phone Number | 2083772777 |
| Fax Number | 2083773075 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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What is the unique 10-digit identification code issued to Jace C. Hansen by the Centers for Medicare & Medicaid Services?
The Jace C. Hansen has been assigned the NPI (National Provider Identifier) 1003027400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jace C. Hansen's physical address?
The Jace C. Hansen is physically located at 6019 N. Eagle Rd., in the city of Boise, ID, with the postal code 83713.
What is the Jace C. Hansen's specialty and taxonomy code?
The Jace C. Hansen's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
When did the Jace C. Hansen receive its 1003027400?
The Jace C. Hansen was issued its 1003027400 on 2007-05-25, which is the date when the organization was assigned this unique identifier.
When was the Jace C. Hansen's information last updated?
The Jace C. Hansen's information was last updated on 2021-06-23.