Provider Demographics
NPI:1265437883
Name:HANAS, STEVEN J (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:HANAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:865 LINCOLN RD
Mailing Address - Street 2:STE L10
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4159
Mailing Address - Country:US
Mailing Address - Phone:563-355-9191
Mailing Address - Fax:563-355-3419
Practice Address - Street 1:1008 11TH ST
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:IA
Practice Address - Zip Code:52742-1210
Practice Address - Country:US
Practice Address - Phone:563-659-9137
Practice Address - Fax:563-659-9869
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
IA21194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1171546Medicaid
40421OtherWELLMARK BC/BS
019915OtherHEALTH ALLIANCE
4796890007OtherDMERC
IA0172OtherJOHN DEERE HEALTH PLAN
19831OtherIOWA HEALTH SOLUTIONS
IA0172OtherJOHN DEERE HEALTH PLAN
A01591Medicare UPIN