Hatch, Holly M

Hatch, Holly M is an individual health care provider with primary practice located at 545 Valley View Dr , Moline IL 61265-6138. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hatch, Holly M can be contacted via phone (309) 762-5560.

Contact Information

Primary practice address
545 Valley View Dr Moline IL 61265-6138
Phone: (309) 762-5560
Fax: (309) 762-7351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.331150 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.007966 Illinois

Profile Details

NPI number 1295989796
LBN Legal business name Hatch, Holly M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Oct 21st, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295989796 NPPES
North Carolina Other 201442673 TRICARE
North Carolina MEDICAID 8053522 TRICARE
North Carolina Other P00654392 TRICARE

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