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
Phone: (508) 368-3130
Fax: (508) 368-3167
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275513822 | NPPES |
Massachusetts | MEDICAID | 110001143A |
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