1588948087

Everything you always wanted to know about HANSEN E JOSHUA PA-C but were afraid to ask.

HANSEN E JOSHUA PA-C

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
HANSEN E JOSHUA PA-C
Gender:
Male
Enumeration date:
2011-10-03
Last update date:
2011-10-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
1134140148 Other BAKER FAMILY PRACTICE NPI none

Taxonomies

Taxonomy State License Number Primary?
363AM0700X Medical ID PA-927 Y
363AS0400X Surgical ID PA-927 N

Phone Numbers

Type Number
Mailing Address Telephone Number 2085246633
Practice Location Address Telephone Number 2085246633

Addresses

Type Address City State Postal Country
Mailing Address 1880 JOHN ADAMS PKWY IDAHO FALLS ID 83401 ID
Practice Location Address 1880 JOHN ADAMS PKWY IDAHO FALLS ID 83401 ID

Other NPI Records that share a phone number

NPI Name Address State City
1083696967 BAKER, WALLACE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1134140148 WALLACE C BAKER
Organization
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1386626463 CHRISTENSEN, WADE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1538121322 TABOR, LAURA
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1639370810 WALLACE BAKERS MID-LEVEL GROUP
Organization
1880 JOHN ADAMS PKWY ID IDAHO FALLS

Other NPI Records that share an address

NPI Name Address State City
1083696967 BAKER, WALLACE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1134140148 WALLACE C BAKER
Organization
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1386626463 CHRISTENSEN, WADE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1538121322 TABOR, LAURA
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS
1639370810 WALLACE BAKERS MID-LEVEL GROUP
Organization
1880 JOHN ADAMS PKWY ID IDAHO FALLS

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1083696967 BAKER, WALLACE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS Identifier: 1134140148 (Other)
1386626463 CHRISTENSEN, WADE
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS Identifier: 1134140148 (Other)
1538121322 TABOR, LAURA
Individual
1880 JOHN ADAMS PKWY ID IDAHO FALLS Identifier: 1134140148 (Other)