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Contact Information

JONATHAN B HANCOCK, DO
2300 E 30TH ST STE 101
FARMINGTON, NM87401-8990
 Phone: 505-327-1400
 Fax: 505-564-3202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JONATHAN B HANCOCK · (Male)

NPI Number 1497048011
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/17/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # A-1965-16
  • NM Medicaid 27221822
Hospital affiliation(s)
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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