Hancock, Jonathan Brent
Hancock, Jonathan Brent is an individual health care provider with primary practice located at 2300 E 30Th St Ste 101 , Farmington NM 87401-8990. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hancock, Jonathan Brent can be contacted via phone (505) 327-1400.Contact Information
Primary practice address
2300 E 30Th St Ste 101
Farmington NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 564-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | A-1965-16 | New Mexico |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | A-1965-16 | New Mexico |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A-1965-16 | New Mexico |
Profile Details
| NPI number | 1497048011 |
|---|---|
| LBN Legal business name | Hancock, Jonathan Brent |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2011 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497048011 | NPPES |
| New Mexico | MEDICAID | 27221822 |
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