Hannibal, Jason Robert

Hannibal, Jason Robert is an individual health care provider with primary practice located at 50 Farenholt Ave , Agana Heights GU 96913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hannibal, Jason Robert can be contacted via phone (671) 344-9340.

Contact Information

Primary practice address
50 Farenholt Ave Agana Heights GU 96913
Phone: (671) 344-9340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60480 California

Profile Details

NPI number 1043811201
LBN Legal business name Hannibal, Jason Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2020
Last updated Dec 27th, 2022 - about 2 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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