1144376559 NPI number — DR NORA E HANKE, PC

Table of content: (NPI 1144376559)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144376559 NPI number — DR NORA E HANKE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR NORA E HANKE, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144376559
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 LIBERTY ST STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTHAMPTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01027-1473
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-527-2101
Provider Business Mailing Address Fax Number:
413-527-3849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 LIBERTY ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01027-1473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-527-2101
Provider Business Practice Location Address Fax Number:
413-527-3849
Provider Enumeration Date:
01/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HANKE
Authorized Official First Name:
NORA
Authorized Official Middle Name:
E
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
413-527-2101

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  158786 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1293374 . This is a "FALLON COMMUNITY HEALTH P" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 158786 . This is a "CPNNECTICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3185508 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158786 . This is a "TUFTS HEALTHPLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2381527 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M18181 . This is a "BCBSMA GROUP NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000008119 . This is a "BMC HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3885508 . This is a "MASSHEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 102208 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 24026 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 28499 . This is a "CHILDREN'S MEDICAL SECURI" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA49774 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1891765657 . This is a "INDIVIDUAL NPI NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J19593 . This is a "INDIVIDUAL BCBSMA PROV #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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