Shanae A Hanoute is a Medical in Portage, Michigan. Shanae A Hanoute practices all healthcare services and medical treatments related to Medical. The NPI Number for Shanae A Hanoute is 1215917836. The last update date is 2023-11-27.
Shanae A Hanoute's current location address is 2600 W Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693244141 and fax number 2693242020. The mailing address for Shanae A Hanoute is 2600 W Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanae A Hanoute |
|---|---|
| Address | 2600 W Centre Ave, Portage, Michigan |
| Phone Number | 2693244141 |
| Fax Number | 2693242020 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1215917836 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 2600 W Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490244828 |
| Phone Number | 2693244141 |
| Fax Number | 2693242020 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601003319 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1215917836 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shanae A Hanoute by the Centers for Medicare & Medicaid Services (CMS)?
The Shanae A Hanoute has been assigned the NPI (National Provider Identifier) 1215917836. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shanae A Hanoute?
The Shanae A Hanoute is physically situated at 2600 W Centre Ave, in the city of Portage, state of MI, with the postal code 490244828.
What is Shanae A Hanoute's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shanae A Hanoute is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
When did the Shanae A Hanoute receive its 1215917836?
The Shanae A Hanoute was issued its 1215917836 on 2006-01-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Shanae A Hanoute, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shanae A Hanoute, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-27.