Hanno Therapy Services Inc | |
3133 Floyd Blvd Sioux City IA 51108-1419 | |
(712) 239-0392 | |
(712) 239-0824 |
Full Name | Hanno Therapy Services Inc |
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Speciality | Social Worker |
Location | 3133 Floyd Blvd, Sioux City, Iowa |
Authorized Official Name and Position | Mary Jean Von Tersch-hanno (OWNER) |
Authorized Official Contact | 7122390392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hanno Therapy Services Inc 3133 Floyd Blvd Sioux City IA 51108-1419 Ph: (712) 239-0392 | Hanno Therapy Services Inc 3133 Floyd Blvd Sioux City IA 51108-1419 Ph: (712) 239-0392 |
NPI Number | 1811234552 |
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Provider Enumeration Date | 01/15/2013 |
Last Update Date | 02/07/2013 |
Medicare PECOS PAC ID | 3678727310 |
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Medicare Enrollment ID | O20130206000191 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811234552 | NPI | - | NPPES |
0242461 | Medicaid | IA |
Provider Name | Mary J Von Tersch Hanno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336207976 PECOS PAC ID: 4880586619 Enrollment ID: I20040326000824 |
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