Hanley, Craig T
Hanley, Craig T is an sole proprietor health care provider with primary practice located at 1489 Se 17Th St Suite 2J, Ft Lauderdale FL 33316-1734. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hanley, Craig T can be contacted via phone (954) 763-2842.Contact Information
Primary practice address
1489 Se 17Th St Suite 2J
Ft Lauderdale FL 33316-1734
Phone: (954) 763-2842
Fax: (954) 763-2850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC-1651 | Florida |
Profile Details
| NPI number | 1871510511 |
|---|---|
| LBN Legal business name | Hanley, Craig T |
| Credentials | O.D., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Apr 5th, 2011 - about 13 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 | 1871510511 | NPPES |
| Florida | Other | 57-1174449 | TAX ID |
| Florida | Other | OP-1651 | TAX ID |
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