Ty E Hasselman in Peoria - Pediatric Cardiology
Ty E Hasselman - NPI 1861438434
Ty E Hasselman is a Pediatric Cardiology in Peoria, Illinois. Ty E Hasselman practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Ty E Hasselman is 1861438434. The last update date is 2022-09-21.
Ty E Hasselman's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453 and fax number 3096553410. The mailing address for Ty E Hasselman is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty E Hasselman |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861438434 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | 036-106293 |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36106293 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ty E Hasselman by the Centers for Medicare & Medicaid Services?
The Ty E Hasselman has been issued the NPI (National Provider Identifier) 1861438434 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Ty E Hasselman located?
The Ty E Hasselman is located at 420 Ne Glen Oak Ave, Peoria, IL 616033105.
What is the Ty E Hasselman's specialty and taxonomy code?
The Ty E Hasselman's specialty is Pediatric Cardiology, and the corresponding taxonomy code is 2080P0202X.
On what date did Ty E Hasselman receive its 1861438434 assignment from the Centers for Medicare & Medicaid Services?
The Ty E Hasselman was assigned its 1861438434 on 2006-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Ty E Hasselman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ty E Hasselman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-21.