Hanley, William
Hanley, William is an sole proprietor health care provider with primary practice located at 621 Memorial Dr Ste 502, South Bend IN 46601-1075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hanley, William can be contacted via phone (574) 647-5875.Contact Information
Primary practice address
621 Memorial Dr Ste 502
South Bend IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71006238A | Indiana |
Profile Details
| NPI number | 1659543643 |
|---|---|
| LBN Legal business name | Hanley, William |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Apr 28th, 2023 - about last year |
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 | 1659543643 | NPPES |
| Indiana | MEDICAID | 201258990 |
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