Hatzenbuehler, John R.

Hatzenbuehler, John R. is an individual health care provider with primary practice located at 100 Foden Rd, East Suite 200, South Portland ME 04106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hatzenbuehler, John R. can be contacted via phone (207) 523-8500.

Contact Information

Primary practice address
100 Foden Rd, East Suite 200 South Portland ME 04106
Fax: (207) 523-8591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17466 Maine
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD17466 Maine

Profile Details

NPI number 1699844365
LBN Legal business name Hatzenbuehler, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 29th, 2015 - about 9 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 1699844365 NPPES
New Hampshire MEDICAID 30207627
New Hampshire MEDICAID 432651599

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