Search › Wyoming › 152W00000X
Jacob Hannon
NPI 1124388525 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2814 Kent Ave
Cody, WY 82414 - Phone
- (307) 272-2716
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming