Hanks, Michael Stephen
Hanks, Michael Stephen is an individual health care provider with primary practice located at 1000 E Primrose Ste 320, Springfield MO 65807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hanks, Michael Stephen can be contacted via phone (417) 269-2300.Contact Information
Primary practice address
1000 E Primrose Ste 320
Springfield MO 65807
Phone: (417) 269-2300
Fax: (417) 269-2315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MRD1G32 | Missouri |
Profile Details
| NPI number | 1053308718 |
|---|---|
| LBN Legal business name | Hanks, Michael Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053308718 | NPPES |
| Missouri | Other | 13538 | BLUE CROSS BLUESHIELD |
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