Hananouchi, Glenn Isamu

Hananouchi, Glenn Isamu is an individual health care provider with primary practice located at 231 W Fir Ave , Clovis CA 93611-0220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hananouchi, Glenn Isamu can be contacted via phone (559) 297-0300.

Contact Information

Primary practice address
231 W Fir Ave Clovis CA 93611-0220
Phone: (559) 297-0300
Fax: (559) 323-5461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G578930 California

Profile Details

NPI number 1952307894
LBN Legal business name Hananouchi, Glenn Isamu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Feb 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952307894 NPPES
California MEDICAID 00G578930

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