Hanson, Jacqueline T

Hanson, Jacqueline T is an individual health care provider with primary practice located at 6907 Burlington Pike , Florence KY 41042-1618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hanson, Jacqueline T can be contacted via phone (859) 525-1846.

Contact Information

Primary practice address
6907 Burlington Pike Florence KY 41042-1618
Phone: (859) 525-1846
Fax: (859) 647-3355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22098 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.060777 Ohio

Profile Details

NPI number 1255355822
LBN Legal business name Hanson, Jacqueline T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1255355822 NPPES
Kentucky MEDICAID 64220981

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