Provider Demographics
NPI:1033205372
Name:HANSING, JAMI LYNETTE (DC)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:LYNETTE
Last Name:HANSING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0905
Mailing Address - Country:US
Mailing Address - Phone:406-449-0814
Mailing Address - Fax:406-449-0826
Practice Address - Street 1:1300 ASPEN ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0905
Practice Address - Country:US
Practice Address - Phone:406-449-0814
Practice Address - Fax:406-449-0826
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000040863OtherBCBS
MT000004575Medicare ID - Type Unspecified
MT000040863OtherBCBS