Hanley, Allison W

Hanley, Allison W is an sole proprietor health care provider with primary practice located at 1803 Park Center Dr , Orlando FL 32835-6216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hanley, Allison W can be contacted via phone (407) 801-5001.

Contact Information

Primary practice address
1803 Park Center Dr Orlando FL 32835-6216
Phone: (407) 801-5001
Fax: (407) 299-8999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0069749 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME0069749 Florida

Profile Details

NPI number 1881675999
LBN Legal business name Hanley, Allison W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated May 28th, 2019 - about 5 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 1881675999 NPPES
Florida Other 28914 BLUE CROSS PROVIDER #
Florida Other 28914V BLUE CROSS PROVIDER #
Florida MEDICAID 250015900 BLUE CROSS PROVIDER #

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