Dr. Jonathan Brent Hancock
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Adult Reconstructive Orthopaedic Surgeon
2300 E 30th St Ste 101
Farmington
, New Mexico 87401-8990
Dr. Jonathan Brent Hancock
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Adult Reconstructive Orthopaedic Surgeon
2300 E 30th St Ste 101
Farmington
, New Mexico 87401-8990
(505) 564-3202
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jonathan Brent Hancock
- 2300 E 30th St Ste 101
- Farmington, NM
- Zip : 87401-8990
- Fax : (505) 564-3202
- Phone : (505) 327-1400
Second Address
- Dr. Jonathan Brent Hancock
- 2300 E 30th St Ste 101
- Farmington, NM
- Zip : 87401-8990
- Fax : (505) 564-3202
- Phone : (505) 327-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | A-1965-16 | NM |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A-1965-16 | NM |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | A-1965-16 | NM |
National Provider Identifier
| NPI | 1497048011 |
|---|---|
| Provider Name | Dr. Jonathan Brent Hancock |
| First Address | Farmington, NM 87401-8990 |
| Second Address | Farmington, NM 87401-8990 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2011 |
| Last Update Date | 20/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27221822 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.