Hanna, Jonathan

Hanna, Jonathan is an sole proprietor health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hanna, Jonathan can be contacted via phone (414) 266-2040.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Fax: (414) 266-5677
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1001933 Wisconsin

Profile Details

NPI number 1407313521
LBN Legal business name Hanna, Jonathan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2019
Last updated Jul 1st, 2019 - about 7 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 1407313521 NPPES
Wisconsin MEDICAID 1407313521

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