Hanrahan, Jordan Robert

Hanrahan, Jordan Robert is an individual health care provider with primary practice located at Beloit Health System Inc 1969 W Hart Road, Beloit WI 53511-2230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hanrahan, Jordan Robert can be contacted via phone (608) 364-2293.

Contact Information

Primary practice address
Beloit Health System Inc 1969 W Hart Road Beloit WI 53511-2230
Phone: (608) 364-2293
Fax: (608) 364-5525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77162 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77162-21 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 77162 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 77162-21 Wisconsin

Profile Details

NPI number 1023675840
LBN Legal business name Hanrahan, Jordan Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2019
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023675840 NPPES
Wisconsin MEDICAID 100209531

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