DR. Ethan J. Hansen, MD is a student in an organized health care education training program in Boise, ID. The provider is 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. DR. Ethan J. Hansen, MD NPI is 1841871753. 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:
BOISE VA MEDICAL CENTER
500 W. FORT ST.
BOISE, ID
ZIP 83702
Phone: (208) 422-1000
The NPI 1841871753 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), Power Mobility Devices.
The enumeration date for this NPI number is 4/21/2021 and was last updated on 4/21/2021.