Hannan, Mark Edward

Hannan, Mark Edward is an individual health care provider with primary practice located at 450 N Koeller St , Oshkosh WI 54902-4111. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hannan, Mark Edward can be contacted via phone (920) 235-5503.

Contact Information

Primary practice address
450 N Koeller St Oshkosh WI 54902-4111
Phone: (920) 235-5503
Fax: (920) 235-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001841 Wisconsin

Profile Details

NPI number 1548431398
LBN Legal business name Hannan, Mark Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Sep 20th, 2011 - about 14 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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