Hanowell, Jennifer Carissa

Hanowell, Jennifer Carissa is an individual health care provider with primary practice located at 1 Essex Center Dr 4Th Floor, Peabody MA 01960-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Hanowell, Jennifer Carissa can be contacted via phone (978) 538-3600.

Contact Information

Primary practice address
1 Essex Center Dr 4Th Floor Peabody MA 01960-2901
Phone: (978) 538-3600
Fax: (978) 538-3610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 829 Nebraska

Profile Details

NPI number 1164507539
LBN Legal business name Hanowell, Jennifer Carissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 12th, 2014 - about 10 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 1164507539 NPPES
Massachusetts MEDICAID 110100179A

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