Shelly D Hatlestad in La Crosse - Surgical
Shelly D Hatlestad - NPI 1386649929
Shelly D Hatlestad is a Surgical in La Crosse, Wisconsin. Shelly D Hatlestad practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shelly D Hatlestad is 1386649929. The last update date is 2007-07-08.
Shelly D Hatlestad's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300 and fax number 6087754467. The mailing address for Shelly D Hatlestad is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly D Hatlestad |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1386649929 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1766 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41993100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shelly D Hatlestad by the Centers for Medicare & Medicaid Services?
The Shelly D Hatlestad has been issued the NPI (National Provider Identifier) 1386649929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shelly D Hatlestad's facilities are geographically located?
The facilities of Shelly D Hatlestad are physically situated at the following location: 1836 South Ave, La Crosse, WI, 5460154290.
What is Shelly D Hatlestad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shelly D Hatlestad is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date did the Shelly D Hatlestad receive the assignment of its 1386649929 from the Centers for Medicare & Medicaid Services?
The Shelly D Hatlestad was issued its 1386649929 by the Centers for Medicare & Medicaid Services on 2005-06-20.
As of what date was the information pertaining to Shelly D Hatlestad, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shelly D Hatlestad, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
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