Scott A Hathaway in Shawano - Emergency Medical Services

Scott A Hathaway - NPI 1669563763

Scott A Hathaway is a Emergency Medical Services in Shawano, Wisconsin. Scott A Hathaway practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Scott A Hathaway is 1669563763. The last update date is 2012-11-02.

Scott A Hathaway's current location address is 309 N Bartlett St, Shawano, Wisconsin. You can contact this provider via phone number 7155262111 and fax number 7155269174. The mailing address for Scott A Hathaway is 309 N Bartlett St, Shawano, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott A Hathaway
Address 309 N Bartlett St, Shawano, Wisconsin
Phone Number 7155262111
Fax Number 7155269174
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1669563763
Provider Enumeration Date 2006-09-27
Last Updated Date 2012-11-02

Provider Mailing Address Detail

Address 309 N Bartlett St
City Shawano
State Wisconsin (WI)
Post Code 541662127
Phone Number 7155262111
Fax Number 7155269174

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 36307
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30064500 WI --

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FAQs about Scott A Hathaway

What is the unique 10-digit identifier code issued to Scott A Hathaway by the Centers for Medicare & Medicaid Services?

The Scott A Hathaway has been assigned the NPI (National Provider Identifier) 1669563763 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Scott A Hathaway is located?

The Scott A Hathaway is situated at the following address: 309 N Bartlett St, Shawano, WI, 541662127.

What is Scott A Hathaway's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Scott A Hathaway is Emergency Medical Services, and the corresponding taxonomy classification code for this specialized field is 207Pe0004X.

On what date did the Scott A Hathaway receive the assignment of its 1669563763 from the Centers for Medicare & Medicaid Services?

The Scott A Hathaway was issued its 1669563763 by the Centers for Medicare & Medicaid Services on 2006-09-27.

When was the information related to Scott A Hathaway most recently updated or refreshed?

The details pertaining to the Scott A Hathaway, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-02.

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