Hassel, Carl David
Hassel, Carl David is an individual health care provider with primary practice located at 836 Prudential Dr Ste 1700 Credentialing Department, Jacksonville FL 32207-8344. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hassel, Carl David can be contacted via phone (904) 398-0125.Contact Information
Primary practice address
836 Prudential Dr Ste 1700 Credentialing Department
Jacksonville FL 32207-8344
Phone: (904) 398-0125
Fax: (904) 398-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME38385 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME38385 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME38385 | Florida |
Profile Details
| NPI number | 1114929502 |
|---|---|
| LBN Legal business name | Hassel, Carl David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 16th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114929502 | NPPES |
| Florida | MEDICAID | 039967100 |
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