Hannon, Rachelle Marie

Hannon, Rachelle Marie is an individual health care provider with primary practice located at 1354 S Lake Park Ave Ste B , Hobart IN 46342-5964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hannon, Rachelle Marie can be contacted via phone (219) 945-4495.

Contact Information

Primary practice address
1354 S Lake Park Ave Ste B Hobart IN 46342-5964
Phone: (219) 945-4495
Fax: (219) 703-6701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012275A Indiana

Profile Details

NPI number 1245989797
LBN Legal business name Hannon, Rachelle Marie
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2022
Last updated Nov 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245989797 NPPES
Indiana Other 15521982 CAQH
Indiana MEDICAID 300060867 CAQH

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