John R. Hatzenbuehler in South Portland - Sports Medicine

John R. Hatzenbuehler - NPI 1699844365

John R. Hatzenbuehler is a Sports Medicine in South Portland, Maine. John R. Hatzenbuehler practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John R. Hatzenbuehler is 1699844365. The last update date is 2015-10-29.

John R. Hatzenbuehler's current location address is 100 Gannett Drive, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for John R. Hatzenbuehler is 100 Gannett Drive, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name John R. Hatzenbuehler
Address 100 Gannett Drive, South Portland, Maine
Phone Number 2078280361
Fax Number 2078741483
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699844365
Provider Enumeration Date 2006-11-07
Last Updated Date 2015-10-29

Provider Mailing Address Detail

Address 100 Gannett Drive
City South Portland
State Maine (ME)
Post Code 4106
Phone Number 2078280361
Fax Number 2078741483

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No MD17466
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30207627 NH --
432651599 ME --

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FAQs about John R. Hatzenbuehler

What is the unique 10-digit identifier code issued to John R. Hatzenbuehler by the Centers for Medicare & Medicaid Services?

The John R. Hatzenbuehler has been assigned the NPI (National Provider Identifier) 1699844365 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where John R. Hatzenbuehler is geographically located?

The John R. Hatzenbuehler is physically situated at the following location: 100 Gannett Drive, South Portland, ME, 4106.

What is the John R. Hatzenbuehler's specialty and taxonomy code?

The John R. Hatzenbuehler's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.

On what date was the 1699844365 assigned to John R. Hatzenbuehler?

The John R. Hatzenbuehler was issued its 1699844365 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John R. Hatzenbuehler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John R. Hatzenbuehler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-29.

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