Provider Demographics
NPI:1194821231
Name:HANSING, SCOTT EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:EUGENE
Last Name:HANSING
Suffix:
Gender:M
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:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT743037687002OtherEBMS
MT40463OtherBCBS
MT40463OtherBCBS