Hanna, Wafaa S.
Hanna, Wafaa S. is an individual health care provider with primary practice located at 25319 Little Mack Ave , St Clair Shores MI 48081-3370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hanna, Wafaa S. can be contacted via phone (586) 447-4000.Contact Information
Primary practice address
25319 Little Mack Ave
St Clair Shores MI 48081-3370
Phone: (586) 447-4000
Fax: (586) 447-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301062012 | Michigan |
Profile Details
| NPI number | 1114929106 |
|---|---|
| LBN Legal business name | Hanna, Wafaa S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Oct 21st, 2020 - about 5 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 | 1114929106 | NPPES |
| Michigan | MEDICAID | 3282477 |
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