1922067719 NPI number — HATTIER MEDICAL PRODUCTS, INC.

Table of content: (NPI 1922067719)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922067719 NPI number — HATTIER MEDICAL PRODUCTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HATTIER MEDICAL PRODUCTS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1922067719
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5000 W ESPLANADE AVE # 266
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70006-2551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-455-8000
Provider Business Mailing Address Fax Number:
504-455-8044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4415 SHORES DR
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-6804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-455-8000
Provider Business Practice Location Address Fax Number:
504-455-8044
Provider Enumeration Date:
03/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HATTIER
Authorized Official First Name:
NEAL
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
504-455-8000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  11214717 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 352358400 . This is a "DEPT OF LABOR" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1554472 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: F2661 . This is a "BLUE CROSS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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