Hanoute, Shanae A
Hanoute, Shanae A is an individual health care provider with primary practice located at 2600 W Centre Ave , Portage MI 49024-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanoute, Shanae A can be contacted via phone (269) 324-4141.Contact Information
Primary practice address
2600 W Centre Ave
Portage MI 49024-4828
Phone: (269) 324-4141
Fax: (269) 324-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601003319 | Michigan |
Profile Details
| NPI number | 1215917836 |
|---|---|
| LBN Legal business name | Hanoute, Shanae A |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 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 | 1215917836 | NPPES |
| Michigan | MEDICAID | 1215917836 |
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