Hancock, Jeffrey D
Hancock, Jeffrey D is an sole proprietor health care provider with primary practice located at 380 Walker Dr , Rexburg ID 83440-1657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hancock, Jeffrey D can be contacted via phone (208) 356-9559.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5755112-1205 | Utah |
Profile Details
| NPI number | 1265637573 |
|---|---|
| LBN Legal business name | Hancock, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Nov 27th, 2007 - about 19 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 | 1265637573 | NPPES |
| Idaho | Other | 000010163793 | BLUE SHIELD |
| Idaho | Other | 8J950 | BLUE SHIELD |
| Idaho | MEDICAID | 807823000 | BLUE SHIELD |
Popular Providers
-
Sena, Gary R
37 S 2Nd E , Rexburg ID 83440-1906 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Marlow, Amy L
2002 Brookside Dr Ste 200 , Kingsport TN 37660-4634 -
Mclean, Ellen B.
4224 Houma Blvd Ste 240, Metairie LA 70006-2935 -
Da Costa Gomez, Carol Ana
15671 Sw 88Th St , Miami FL 33196-1103 -
Redd, Hans Thurgood
100 Shc , Rexburg ID 83460-2010 -
Hymas, Jason Ern
37 S 2Nd E , Rexburg ID 83440-1906 -
Dubinsky, Diane E.
3650 Joseph Siewick Dr Ste 101, Fairfax VA 22033-1700