Hanoute, Shanae A

Hanoute, Shanae A is an individual health care provider with primary practice located at 2600 W Centre Ave , Portage MI 49024-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanoute, Shanae A can be contacted via phone (269) 324-4141.

Contact Information

Primary practice address
2600 W Centre Ave Portage MI 49024-4828
Phone: (269) 324-4141
Fax: (269) 324-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003319 Michigan

Profile Details

NPI number 1215917836
LBN Legal business name Hanoute, Shanae A
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 27th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215917836 NPPES
Michigan MEDICAID 1215917836

Popular Providers