Shannon M. Hauschildt in Bolivar - Surgical

Shannon M. Hauschildt - NPI 1225012578

Shannon M. Hauschildt is a Surgical in Bolivar, Missouri. Shannon M. Hauschildt practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shannon M. Hauschildt is 1225012578. The last update date is 2014-03-18.

Shannon M. Hauschildt's current location address is 1155 W. Parkview St., Bolivar, Missouri. You can contact this provider via phone number 4177772663 and fax number 4177772666. The mailing address for Shannon M. Hauschildt is 1155 W. Parkview St., Bolivar, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon M. Hauschildt
Address 1155 W. Parkview St., Bolivar, Missouri
Phone Number 4177772663
Fax Number 4177772666
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1225012578
Provider Enumeration Date 2005-11-30
Last Updated Date 2014-03-18

Provider Mailing Address Detail

Address 1155 W. Parkview St.
City Bolivar
State Missouri (MO)
Post Code 656137800
Phone Number 4177772663
Fax Number 4177772666

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 2004003730
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Shannon M. Hauschildt

What is the unique provider identifier assigned to Shannon M. Hauschildt?

The Shannon M. Hauschildt has been issued the NPI (National Provider Identifier) 1225012578 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Shannon M. Hauschildt is located?

The Shannon M. Hauschildt is situated at the following address: 1155 W. Parkview St., Bolivar, MO, 656137800.

What is the Shannon M. Hauschildt's area of specialization and corresponding taxonomy classification?

The Shannon M. Hauschildt's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date did the Shannon M. Hauschildt receive the assignment of its 1225012578 from the Centers for Medicare & Medicaid Services?

The Shannon M. Hauschildt was issued its 1225012578 by the Centers for Medicare & Medicaid Services on 2005-11-30.

As of what date were the details pertaining to Shannon M. Hauschildt last refreshed?

The information related to the Shannon M. Hauschildt, including its address, specialty, and other relevant details, was last updated on 2014-03-18.

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