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 13 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 |
Popular Providers
-
Cutler, Nancy Goldman
1500 East Medical Center Dr 11Th Floor C. S. Mott Children'S Hospital Room 661, Ann Arbor MI 48109-5204 -
Mammel, Kathleen A
1500 E Medical Center Drive 8Th Floor Cs Mott Childrens Hospital, Ann Arbor MI 48109-4259 -
Anderberg, Roger
3100 E Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-5205 -
Weinblatt, Howard
3100 E Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-5205 -
Kucera, Michael
4350 Jackson Rd Suite 100, Ann Arbor MI 48103-1889 -
Seiler, Andrew Jon
3200 W Liberty Rd Suite A, Ann Arbor MI 48103-9746 -
Srinivasan, Kalavathy K
1500 East Medical Center Dr B1 Floor University Hospital Recp Emergency, Ann Arbor MI 48109-0014 -
Cooke, Amy
4200 Whitehall Dr # D Suite 230, Ann Arbor MI 48105-9694