William Francis Hanavan
Gastroenterologist
3304 Cooley Ct
Portage
, Michigan 49024-7430
William Francis Hanavan
Gastroenterologist
3304 Cooley Ct
Portage
, Michigan 49024-7430
(269) 349-0792
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- William Francis Hanavan
- 3304 Cooley Ct
- Portage, MI
- Zip : 49024-7430
- Fax : (269) 349-0792
- Phone : (269) 349-2266
Second Address
- William Francis Hanavan
- 3304 Cooley Ct
- Portage, MI
- Zip : 49024-7430
- Fax : (269) 349-0792
- Phone : (269) 349-2266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | WH053362 | MI |
National Provider Identifier
| NPI | 1013972926 |
|---|---|
| Provider Name | William Francis Hanavan |
| First Address | Portage, MI 49024-7430 |
| Second Address | Portage, MI 49024-7430 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 11/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0M92920006 | MEDICARE (01) | MI |
| 0P56360001 | MEDICARE ID 04/25/2008 AND AFTER (01) | MI |
| 100C910690 | BCBSM (01) | MI |
| 100C914640 | BCBS 04/25/2008 AND AFTER (01) | MI |
| 101173 | GREAT LAKES HEALTH PLAN (01) | MI |
| 1013972926 | (05) | MI |
| 1013972926 | NPI (01) | MI |
| 10417171759 | (05) | MI |
| 1417961137 | BCBSM - BRONSON (01) | MI |
| 1851569958 | NPI 04/25/2008 AND AFTER (01) | MI |
| 383309299134 | CARESOURCE MEDICAID (01) | MI |
| F05589 | (02) | MI |
| WH053362 | BLUE CROSS BLUE SHIELD (01) | MI |
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.