Dr. Pamela Jean Hanson
Family Doctor Family Doctor - Addiction Medicine
4421 Roosevelt Blvd Ste A
Middletown
, Ohio 45044-9024
Dr. Pamela Jean Hanson
Family Doctor Family Doctor - Addiction Medicine
4421 Roosevelt Blvd Ste A
Middletown
, Ohio 45044-9024
(612) 559-8554
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Pamela Jean Hanson
- 7676 Greenfarms Dr
- Cincinnati, OH
- Zip : 45224-1214
- Phone : (612) 559-8554
Second Address
- Dr. Pamela Jean Hanson
- 4421 Roosevelt Blvd Ste A
- Middletown, OH
- Zip : 45044-9024
- Phone : (833) 952-0829
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 036-126898 | IL |
| N | 207Q00000X | Family Doctor | 50843 | OH |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.050843 | OH |
National Provider Identifier
| NPI | 1801121991 |
|---|---|
| Provider Name | Dr. Pamela Jean Hanson |
| First Address | Cincinnati, OH 45224-1214 |
| Second Address | Middletown, OH 45044-9024 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2009 |
| Last Update Date | 25/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A15849 | (02) | OH |
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.