ERIN HANOVER M.D. LLC NPI 1710274741

NPI Information

NPI: 1710274741
Provider Name: ERIN HANOVER, M.D. LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
200 CHASE PARK S
SUITE 102
BIRMINGHAM, AL
ZIP 35244
Phone: (205) 987-0724
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ERIN HANOVER, M.D. LLC is an adult mental health clinic center in Birmingham, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ERIN HANOVER, M.D. LLC NPI is 1710274741. The provider is registered as an organization entity type.

The provider's business location address is:

200 CHASE PARK S
SUITE 102
BIRMINGHAM, AL
ZIP 35244-884
Phone: (205) 987-0724
Fax: (205) 987-0725

The provider's authorized official is Erin Emmanuel Hanover .
The authorized official title is Sole Proprietor and has the following contact phone number (205) 767-0564.

The enumeration date for this NPI number is 6/28/2011 and was last updated on 6/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	MD.29132	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R9629	MEDICAID	ALABAMA
2	1073716064	OTHER	ALABAMA	NPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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