Individual
JERALD D HANSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 FRANKLIN BLVD, PORTSMOUTH, OH 45662-3106
(740) 354-1919
(740) 354-1919
Mailing address
1735 FRANKLIN BLVD, PORTSMOUTH, OH 45662-3106
(740) 354-1919
(740) 354-1919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35047470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489896
—
OH
05
—
64781347
—
KY
01
—
P00181880
SOM RR MDCR PIN NUMBER
OH
Enumeration date
07/22/2005
Last updated
08/23/2013
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