Hatten, Homer Paul

Hatten, Homer Paul is an individual health care provider with primary practice located at 1485 37Th St Suite 107, Vero Beach FL 32960-6500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Hatten, Homer Paul can be contacted via phone (772) 569-9745.

Contact Information

Primary practice address
1485 37Th St Suite 107 Vero Beach FL 32960-6500
Phone: (772) 569-9745
Fax: (772) 567-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME0076679 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0076679 Florida

Profile Details

NPI number 1700885811
LBN Legal business name Hatten, Homer Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jun 3rd, 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 1700885811 NPPES
Florida MEDICAID 262748500

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