Provider Demographics
NPI:1831190503
Name:HANLON, HUBERT PETER JR (DC)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:PETER
Last Name:HANLON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2603
Mailing Address - Country:US
Mailing Address - Phone:508-393-1900
Mailing Address - Fax:508-393-2516
Practice Address - Street 1:37 SOUTH ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2603
Practice Address - Country:US
Practice Address - Phone:508-393-1900
Practice Address - Fax:508-393-2516
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA791688OtherTUFTS
MAY39390OtherBCBS GROUP NUMBER
MAHAY36375OtherBCBS PROVIDER NUMBER
MA352430OtherHARVARD PILGRIM
MA2330154OtherAETNA
MAHAY36375OtherBCBS PROVIDER NUMBER
MA791688OtherTUFTS