Hannagan, Michele
Hannagan, Michele is an individual health care provider with primary practice located at Plains Regional Medical Group 2200 W 21St St, Clovis NM 88101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hannagan, Michele can be contacted via phone (575) 769-7577.Contact Information
Primary practice address
Plains Regional Medical Group 2200 W 21St St
Clovis NM 88101
Phone: (575) 769-7577
Fax: (575) 769-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A-112799 | New Mexico |
Profile Details
| NPI number | 1083708465 |
|---|---|
| LBN Legal business name | Hannagan, Michele |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 14th, 2008 - about 16 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 | 1083708465 | NPPES |
| New Mexico | MEDICAID | 71706 |
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