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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871510511 NPPES
Florida Other 57-1174449 TAX ID
Florida Other OP-1651 TAX ID

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