Hannis, Mark
Hannis, Mark is an individual health care provider with primary practice located at 15101 Ford Rd , Dearborn MI 48126-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Hannis, Mark can be contacted via phone (313) 582-2769.Contact Information
Primary practice address
15101 Ford Rd
Dearborn MI 48126-4611
Phone: (313) 582-2769
Fax: (313) 846-7708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301071197 | Michigan |
Profile Details
| NPI number | 1336119106 |
|---|---|
| LBN Legal business name | Hannis, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 22nd, 2020 - about 5 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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