Hanna, Edwin A.

Hanna, Edwin A. is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hanna, Edwin A. can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail Street Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 842-6553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1114 Kentucky

Profile Details

NPI number 1134129471
LBN Legal business name Hanna, Edwin A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134129471 NPPES
Kentucky MEDICAID 8200110800
Kentucky MEDICAID 30604011

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