Hannon, Peter
Hannon, Peter is an individual health care provider with primary practice located at 1000 East Mountain Blvd , Wilkes Barre PA 18711-3478. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Hannon, Peter can be contacted via phone (570) 808-7856.Contact Information
Primary practice address
1000 East Mountain Blvd
Wilkes Barre PA 18711-3478
Phone: (570) 808-7856
Fax: (570) 808-1069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS007131L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 12826434-1204 | Utah |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 195753 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS007131L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS-007131-L | Pennsylvania |
Profile Details
| NPI number | 1811943335 |
|---|---|
| LBN Legal business name | Hannon, Peter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 27th, 2023 - about last year |
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 | 1811943335 | NPPES |
| Pennsylvania | Other | 50073483 | KEYSTONE HEALTH PLAN |
| Pennsylvania | Other | HA425022 | KEYSTONE HEALTH PLAN |
| Pennsylvania | Other | 232809429008 | KEYSTONE HEALTH PLAN |
| Pennsylvania | MEDICAID | 0013918390006 | KEYSTONE HEALTH PLAN |
| Pennsylvania | Other | 50073483 | KEYSTONE HEALTH PLAN |
| Pennsylvania | Other | 1689 | KEYSTONE HEALTH PLAN |
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