Hancock, Stephan K.

Hancock, Stephan K. is an individual health care provider with primary practice located at 72 Gail Harris St , Roswell NM 88203-8116. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hancock, Stephan K. can be contacted via phone (575) 347-3400.

Contact Information

Primary practice address
72 Gail Harris St Roswell NM 88203-8116
Phone: (575) 347-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0159701 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-08766 New Mexico

Profile Details

NPI number 1023569472
LBN Legal business name Hancock, Stephan K.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2016
Last updated Apr 10th, 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 1023569472 NPPES
New Mexico MEDICAID 28858735

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