Hannah, Jessica Ann

Hannah, Jessica Ann is an sole proprietor health care provider with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414-5733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Hannah, Jessica Ann can be contacted via phone (843) 402-5035.

Contact Information

Primary practice address
2095 Henry Tecklenburg Dr Charleston SC 29414-5733
Fax: (843) 402-5036
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0056849 Colorado
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 33596 South Carolina

Profile Details

NPI number 1851685853
LBN Legal business name Hannah, Jessica Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2011
Last updated Nov 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851685853 NPPES
South Carolina MEDICAID 335961

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