Provider Demographics
NPI:1851023261
Name:HANNA, EMIL (DR)
Entity Type:Individual
Prefix:MR
First Name:EMIL
Middle Name:
Last Name:HANNA
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 JEAN ALYNE DOTSON DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-1704
Mailing Address - Country:US
Mailing Address - Phone:615-674-7700
Mailing Address - Fax:
Practice Address - Street 1:101 JEAN ALYNE DOTSON DR
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-1704
Practice Address - Country:US
Practice Address - Phone:615-674-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00001343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)