Hanley, John R
Hanley, John R is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4661. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hanley, John R can be contacted via phone (907) 261-3111.Contact Information
Primary practice address
3200 Providence Dr
Anchorage AK 99508-4661
Phone: (907) 261-3111
Fax: (907) 565-8066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 1702 | Alaska |
Profile Details
| NPI number | 1952398166 |
|---|---|
| LBN Legal business name | Hanley, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 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 | 1952398166 | NPPES |
| Alaska | MEDICAID | MD1702 |
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