Hassan, Anisa

Hassan, Anisa is an individual health care provider with primary practice located at 3315 Mcintosh Cir , Joplin MO 64804-3649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Hassan, Anisa can be contacted via phone (417) 347-4000.

Contact Information

Primary practice address
3315 Mcintosh Cir Joplin MO 64804-3649
Fax: (417) 347-4064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 104713 Missouri

Profile Details

NPI number 1164537643
LBN Legal business name Hassan, Anisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 12th, 2011 - about 14 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 1164537643 NPPES
Missouri MEDICAID 2046421102
Missouri MEDICAID 100185740A
Missouri MEDICAID 208061416

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