Healthcare Provider Details

I. General information

NPI: 1891765657
Provider Name (Legal Business Name): NORA E HANKE M.B.,CHB
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 LIBERTY ST
EASTHAMPTON MA
01027-1448
US

IV. Provider business mailing address

4 LIBERTY ST
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:
Title or Position:
Credential:
Phone: