1669417010 NPI number — DR. SHEILA L. HASTIE OD

Table of content: DR. SHEILA L. HASTIE OD (NPI 1669417010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669417010 NPI number — DR. SHEILA L. HASTIE OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HASTIE
Provider First Name:
SHEILA
Provider Middle Name:
L.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669417010
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
10/30/2018
NPI Reactivation Date:
11/07/2018

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 325
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRADFORD
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05033-0325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-222-4543
Provider Business Mailing Address Fax Number:
802-222-4503

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
165 MECHANIC ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03766-1509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-678-8185
Provider Business Practice Location Address Fax Number:
603-678-8194
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  VT0300000269 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1023472 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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