Individual
ELIJAH LIVINGSTON HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7133 NITTANY VALLEY DR, MILL HALL, PA 17751
(570) 726-7992
(570) 726-2242
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103272375
—
PA
Enumeration date
08/14/2013
Last updated
09/23/2024
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