Hancock, Brian

Hancock, Brian is an sole proprietor health care provider with primary practice located at 841 Ne 7Th St , Grants Pass OR 97526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hancock, Brian can be contacted via phone (541) 474-2721.

Contact Information

Primary practice address
841 Ne 7Th St Grants Pass OR 97526
Fax: (541) 474-0056
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17445 Oregon

Profile Details

NPI number 1720088693
LBN Legal business name Hancock, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jul 3rd, 2018 - about 7 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 1720088693 NPPES
Oregon MEDICAID 034301

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