Hancock, Jonathan Daniel

Hancock, Jonathan Daniel is an individual health care provider with primary practice located at 1074 Southern Ave , Fayetteville NC 28306-1766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Hancock, Jonathan Daniel can be contacted via phone (910) 491-4530.

Contact Information

Primary practice address
1074 Southern Ave Fayetteville NC 28306-1766
Phone: (910) 491-4530
Fax: (910) 491-6093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5004563 North Carolina

Profile Details

NPI number 1780816223
LBN Legal business name Hancock, Jonathan Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2009
Last updated Mar 21st, 2017 - about 9 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 1780816223 NPPES
North Carolina Other 5004563 NC LISCENSE

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