Hattel, Larry J
Hattel, Larry J is an individual health care provider with primary practice located at 3235 Sparks Rd Suite 200, Cheyenne WY 82001-6158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hattel, Larry J can be contacted via phone (307) 638-8975.Contact Information
Primary practice address
3235 Sparks Rd Suite 200
Cheyenne WY 82001-6158
Phone: (307) 638-8975
Fax: (307) 634-9267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4666A | Wyoming |
Profile Details
| NPI number | 1629019351 |
|---|---|
| LBN Legal business name | Hattel, Larry J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Feb 1st, 2012 - about 14 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 | 1629019351 | NPPES |
| Wyoming | MEDICAID | 1629019351 | |
| Wyoming | Other | P00720533 |
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