Hanson, Jennifer

Hanson, Jennifer is an individual health care provider with primary practice located at 560 Pierce St , Kingston PA 18704-5716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hanson, Jennifer can be contacted via phone (570) 283-2161.

Contact Information

Primary practice address
560 Pierce St Kingston PA 18704-5716
Phone: (570) 283-2161
Fax: (570) 714-0670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OT013450 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS015876 Pennsylvania

Profile Details

NPI number 1548581952
LBN Legal business name Hanson, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Aug 31st, 2020 - about 5 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 1548581952 NPPES
Pennsylvania Other 448100 MEDICARE NUMBER

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