Provider Demographics
NPI:1144376559
Name:DR NORA E HANKE, PC
Entity Type:Organization
Organization Name:DR NORA E HANKE, PC
Other - Org Name:DR. NORA E HANKE, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANKE
Authorized Official - Suffix:
Authorized Official - Credentials:MB, CHB
Authorized Official - Phone:413-527-2101
Mailing Address - Street 1:4 LIBERTY ST STE A
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1473
Mailing Address - Country:US
Mailing Address - Phone:413-527-2101
Mailing Address - Fax:413-527-3849
Practice Address - Street 1:4 LIBERTY ST STE A
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1473
Practice Address - Country:US
Practice Address - Phone:413-527-2101
Practice Address - Fax:413-527-3849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158786208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1293374OtherFALLON COMMUNITY HEALTH P
MA158786OtherCPNNECTICARE
MA3185508Medicaid
MA158786OtherTUFTS HEALTHPLAN
MA2381527OtherAETNA
MAM18181OtherBCBSMA GROUP NUMBER
MA0000000008119OtherBMC HEALTHNET
MA3885508OtherMASSHEALTH
MA102208OtherCIGNA
MA24026OtherHEALTH NEW ENGLAND
MA28499OtherCHILDREN'S MEDICAL SECURI
MAAA49774OtherHARVARD PILGRIM HEALTHCAR
MA1891765657OtherINDIVIDUAL NPI NUMBER
MAJ19593OtherINDIVIDUAL BCBSMA PROV #
MA28499OtherCHILDREN'S MEDICAL SECURI
MA1293374OtherFALLON COMMUNITY HEALTH P
MAA29154Medicare ID - Type Unspecified