Individual
SCOTT JOSEPH HANEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80165
MS
213ES0131X
Foot Surgery Podiatrist
80165
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730-15591
BCBS OF ALABAMA
MS
01
—
P00238726
MEDICARE RAILROAD
MS
Enumeration date
11/28/2006
Last updated
10/31/2024
Update your record
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