Hannon, Jacob

Hannon, Jacob is an sole proprietor health care provider with primary practice located at 2814 Kent Ave , Cody WY 82414-8250. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hannon, Jacob can be contacted via phone (307) 272-2716.

Contact Information

Primary practice address
2814 Kent Ave Cody WY 82414-8250
Phone: (307) 272-2716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 0618002148 Virginia

Profile Details

NPI number 1124388525
LBN Legal business name Hannon, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2012
Last updated Mar 30th, 2016 - about 10 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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