Hancock, Brian
Hancock, Brian is an sole proprietor health care provider with primary practice located at 841 Ne 7Th St , Grants Pass OR 97526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hancock, Brian can be contacted via phone (541) 474-2721.Contact Information
Primary practice address
841 Ne 7Th St
Grants Pass OR 97526
Phone: (541) 474-2721
Fax: (541) 474-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17445 | Oregon |
Profile Details
| NPI number | 1720088693 |
|---|---|
| LBN Legal business name | Hancock, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jul 3rd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720088693 | NPPES |
| Oregon | MEDICAID | 034301 |
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