Jerry A. Hanson, M.D. A Professional Corporation in San Jose - Medical Specialty
Jerry A. Hanson, M.D. A Professional Corporation - NPI 1215137963
Jerry A. Hanson, M.D. A Professional Corporation is a Medical Specialty in San Jose, California. Jerry A. Hanson, M.D. A Professional Corporation practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jerry A. Hanson, M.D. A Professional Corporation is 1215137963. The last update date is 2007-11-14.
Jerry A. Hanson, M.D. A Professional Corporation's current location address is 2030 Forest Ave, San Jose, California. You can contact this provider via phone number 4082952257 and fax number 4082952264. The mailing address for Jerry A. Hanson, M.D. A Professional Corporation is 2030 Forest Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jerry A. Hanson, M.D. A Professional Corporation |
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Address | 2030 Forest Ave, San Jose, California |
Phone Number | 4082952257 |
Fax Number | 4082952264 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Hanson Alan Jerry |
Credentials | M.D. |
Telephone Number | 482952257. |
NPI Number Detail
NPI Number | 1215137963 |
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Provider Enumeration Date | 2007-07-20 |
Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
Address | 2030 Forest Ave |
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City | San Jose |
State | California (CA) |
Post Code | 951284833 |
Phone Number | 4082952257 |
Fax Number | 4082952264 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Licence No | C33389 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique provider identifier assigned to Jerry A. Hanson, M.D. A Professional Corporation?
The Jerry A. Hanson, M.D. A Professional Corporation has been issued the NPI (National Provider Identifier) 1215137963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jerry A. Hanson, M.D. A Professional Corporation is geographically located?
The Jerry A. Hanson, M.D. A Professional Corporation is physically situated at the following location: 2030 Forest Ave, San Jose, CA, 951284833.
What is Jerry A. Hanson, M.D. A Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry A. Hanson, M.D. A Professional Corporation is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
When was the Jerry A. Hanson, M.D. A Professional Corporation's 1215137963 issued?
The Jerry A. Hanson, M.D. A Professional Corporation's 1215137963 was issued on 2007-07-20.
As of what date were the details related to Jerry A. Hanson, M.D. A Professional Corporation most recently updated or revised?
The information pertaining to Jerry A. Hanson, M.D. A Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-14.