Provider Demographics
NPI:1144450263
Name:HANSON, MATTHEW CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CURTIS
Last Name:HANSON
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 1:4237 VINCENT AVE S # 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1520
Mailing Address - Country:US
Mailing Address - Phone:612-237-6903
Mailing Address - Fax:
Practice Address - Street 1:4237 VINCENT AVE S # 2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1520
Practice Address - Country:US
Practice Address - Phone:612-237-6903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor