Hannon, Caroline

Hannon, Caroline is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hannon, Caroline can be contacted via phone (509) 765-5606.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1820
Fax: (509) 764-3244
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP61054636 Washington

Profile Details

NPI number 1194220848
LBN Legal business name Hannon, Caroline
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Nov 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194220848 NPPES
Washington MEDICAID 2182744

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