Hanks, Roy Eugene

Hanks, Roy Eugene is an individual health care provider with primary practice located at 17375 Hall Rd , Macomb Township MI 48044-4060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hanks, Roy Eugene can be contacted via phone (586) 228-0550.

Contact Information

Primary practice address
17375 Hall Rd Macomb Township MI 48044-4060
Fax: (586) 228-8125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101012152 Michigan

Profile Details

NPI number 1912997073
LBN Legal business name Hanks, Roy Eugene
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 15th, 2015 - about 11 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 1912997073 NPPES
Michigan MEDICAID 3507460

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