GLENN A HANSEN D.P.M. NPI 1194732669

NPI Information

NPI: 1194732669
Provider Name: GLENN A HANSEN, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
2331 S ONEIDA ST
GREEN BAY, WI
ZIP 54304
Phone: (920) 499-1177
Get Directions

Glenn A Hansen, D.P.M. is a foot surgery podiatrist in Green Bay, WI. Glenn A Hansen, D.P.M. NPI is 1194732669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2331 S ONEIDA ST
GREEN BAY, WI
ZIP 54304-267
Phone: (920) 499-1177
Fax: (920) 499-5398

The NPI 1194732669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	403-025	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	84548	MEDICARE PIN	WISCONSIN
2	1020840001	MEDICARE NSC	WISCONSIN
3	T62116	MEDICARE UPIN	WISCONSIN
4	43217500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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