Provider Demographics
NPI:1285627257
Name:HANKINSON, DONALD V (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:V
Last Name:HANKINSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 FORE RIVER PKWY STE 470
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2787
Mailing Address - Country:US
Mailing Address - Phone:207-347-3164
Mailing Address - Fax:207-899-3195
Practice Address - Street 1:22 BRAMHALL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3134
Practice Address - Country:US
Practice Address - Phone:207-347-3164
Practice Address - Fax:207-899-3195
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1329204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM7302Medicare ID - Type UnspecifiedGROUP #
E40032Medicare UPIN
MM3040Medicare ID - Type Unspecified