Hanna, Stephan D

Hanna, Stephan D is an individual health care provider with primary practice located at 1907 Ann St , Parkersburg WV 26101-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hanna, Stephan D can be contacted via phone (304) 424-4205.

Contact Information

Primary practice address
1907 Ann St Parkersburg WV 26101-2504
Phone: (304) 424-4205
Fax: (304) 424-4485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13524 West Virginia

Profile Details

NPI number 1265480628
LBN Legal business name Hanna, Stephan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 1st, 2010 - about 14 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 1265480628 NPPES
Other 000034367 BLUE CROSS/BLUE SHIELD
Other 080094477 BLUE CROSS/BLUE SHIELD
MEDICAID 0541186 BLUE CROSS/BLUE SHIELD
MEDICAID 0056732000 BLUE CROSS/BLUE SHIELD

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