Hannibal, Mark Charles
Hannibal, Mark Charles is an individual health care provider with primary practice located at 1500 E Medical Center Dr 6Th Floor Mott Childrens Hospital, Ann Arbor MI 48109-4259. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Hannibal, Mark Charles can be contacted via phone (734) 936-4185.Contact Information
Primary practice address
1500 E Medical Center Dr 6Th Floor Mott Childrens Hospital
Ann Arbor MI 48109-4259
Phone: (734) 936-4185
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD00037850 | Washington |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 4301099786 | Michigan |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301099786 | Michigan |
Profile Details
NPI number | 1548350432 |
---|---|
LBN Legal business name | Hannibal, Mark Charles |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Sep 13th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548350432 | NPPES |
Other | 3199 | INTERNAL ID-MOTOR VEHICLE ID | |
MEDICAID | 8246647 | INTERNAL ID-MOTOR VEHICLE ID |
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