Hannon, Martin A
Hannon, Martin A is an individual health care provider with primary practice located at 3730 S Pinnacle Hills Pkwy Ste 2 , Rogers AR 72758-8897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hannon, Martin A can be contacted via phone (479) 464-5599.Contact Information
Primary practice address
3730 S Pinnacle Hills Pkwy Ste 2
Rogers AR 72758-8897
Phone: (479) 464-5599
Fax: (479) 464-5598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3067 | Arkansas |
Profile Details
| NPI number | 1124029624 |
|---|---|
| LBN Legal business name | Hannon, Martin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 23rd, 2021 - about 4 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 | 1124029624 | NPPES |
| Arkansas | MEDICAID | 146500001 |
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