Doctor Name: | JILL LYNN HANCK |
NPI Number: | 1881805273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101240655 |
Business Practice Address: | 1024 Lemay Ave Fort Collins, CO - 805243929 |
Business Phone Number: | 9704958006 |
Business Fax Number: | |
Mailing Address: | 1224 Forest Hills Ln, FORT COLLINS |
State: | CO |
Postal Code: | 805242265 |
Phone Number: | 9704930932 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0101240655 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |