Individual
HANNAH SUE ECONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
123 HOSPITAL AVE, DU BOIS, PA 15801-1409
(814) 371-1900
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020336
PA
207V00000X
Obstetrics & Gynecology Physician
OS020336
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103906841
—
PA
01
—
6E5879
OB PTAN PHD
PA
01
—
6E5881
FAM MED PTAN PHD
PA
01
—
7N3441
PEDS PTAN PHD
PA
Enumeration date
03/19/2018
Last updated
07/16/2025
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