Hancock, Edwin

Hancock, Edwin is an individual health care provider with primary practice located at 2609 New Hartford Rd Ste 3 , Owensboro KY 42303-1316. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hancock, Edwin can be contacted via phone (812) 476-7111.

Contact Information

Primary practice address
2609 New Hartford Rd Ste 3 Owensboro KY 42303-1316
Phone: (812) 476-7111
Fax: (812) 476-7117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3016618 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016618 Kentucky

Profile Details

NPI number 1255009379
LBN Legal business name Hancock, Edwin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Jun 9th, 2022 - about 2 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 1255009379 NPPES
Indiana MEDICAID 300061509
Indiana MEDICAID 7100767930

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