Hatt, Russell George

Hatt, Russell George is an individual health care provider with primary practice located at 25500 Medical Center Dr , Murrieta CA 92562-5965. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hatt, Russell George can be contacted via phone (909) 696-6000.

Contact Information

Primary practice address
25500 Medical Center Dr Murrieta CA 92562-5965
Phone: (909) 696-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G60974 California

Profile Details

NPI number 1295725190
LBN Legal business name Hatt, Russell George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 26th, 2008 - about 16 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 1295725190 NPPES
California MEDICAID 00G609740

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