Provider Demographics
NPI:1750368197
Name:HANSEN, HANS CHRISTIAN (MD)
Entity type:Individual
Prefix:DR
First Name:HANS
Middle Name:CHRISTIAN
Last Name:HANSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-0302
Mailing Address - Country:US
Mailing Address - Phone:828-585-3445
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:1224 COMMERCE ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8249
Practice Address - Country:US
Practice Address - Phone:828-261-0467
Practice Address - Fax:828-267-0599
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39278207L00000X, 207LP2900X, 208VP0000X
NC2014459207LA0401X
NC20163207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2150437MOtherMEDICARE PTAN
NCP00667936OtherRAILROAD MEDICARE
SC12677QMedicaid
NC39083OtherBCBS NC
NCP00667936OtherRR MEDICARE
NC8939083Medicaid