Hannan, Joseph

Hannan, Joseph is an sole proprietor health care provider with primary practice located at 123 Summer St Ste 290N , Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Hannan, Joseph can be contacted via phone (508) 368-3130.

Contact Information

Primary practice address
123 Summer St Ste 290N Worcester MA 01608-1216
Fax: (508) 368-3167
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 205941 Massachusetts

Profile Details

NPI number 1275513822
LBN Legal business name Hannan, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated May 22nd, 2024 - about 7 months 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 1275513822 NPPES
Massachusetts MEDICAID 110001143A

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