National Provider Identifier
John Jacob Hannibal IV, M.D.
John Jacob Hannibal IV, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-4226.
Profile Overview
- NPI
- 1003133729
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 21, 2010
- Last Updated
- April 21, 2010
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-4226
Mailing Address
- 3348 Wallace Dr
- Grand Island, NY 14072-1032
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1003133729
- Entity Type
- Individual
- Last Name
- Hannibal
- First Name
- John
- Middle Name
- Jacob
- Name Prefix
- Dr.
- Name Suffix
- IV
- Credential
- M.D.
- Mailing Street Address
- 3348 Wallace Dr
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1032
- Mailing Country
- US
- Mailing Phone
- (716) 773-1280
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4226
- Practice Fax
- (716) 898-3279
- Enumeration Date
- April 21, 2010
- Last Updated
- April 21, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)