1518002690 NPI number — HANNE V HOLLENBECK DMD

Table of content: HANNE V HOLLENBECK DMD (NPI 1518002690)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518002690 NPI number — HANNE V HOLLENBECK DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLLENBECK
Provider First Name:
HANNE
Provider Middle Name:
V
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518002690
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3907 OLD WILLIAM PENN HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURRYSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-327-3080
Provider Business Mailing Address Fax Number:
724-327-3067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3907 OLD WILLIAM PENN HWY
Provider Second Line Business Practice Location Address:
SUITE 403
Provider Business Practice Location Address City Name:
MURRYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15668-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-327-3080
Provider Business Practice Location Address Fax Number:
724-327-3067
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  05029269L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com