Healthcare Provider Details

I. General information

NPI: 1144376559
Provider Name (Legal Business Name): DR NORA E HANKE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 LIBERTY ST STE A
EASTHAMPTON MA
01027-1473
US

IV. Provider business mailing address

4 LIBERTY ST STE A
EASTHAMPTON MA
01027-1473
US

V. Phone/Fax

Practice location:
  • Phone: 413-527-2101
  • Fax: 413-527-3849
Mailing address:
  • Phone: 413-527-2101
  • Fax: 413-527-3849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number158786
License Number StateMA

VIII. Authorized Official

Name: DR. NORA E HANKE
Title or Position: OWNER
Credential: MB, CHB
Phone: 413-527-2101