| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW HANNA | 1801456884 | 2022-06-19 |
Matthew Hanna is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801456884. Registration indicates Matthew Hanna is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Matthew Hanna |
| Practice Office Address | 3601 W 13 MILE RD ROYAL OAK, MI US |
| Practice Office Telephone | 2488984198 |
| Mailing Address | 3601 W 13 MILE RD OFC ROYAL OAK, MI 480736712 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 4351044748
MI |