Hiatt, Ted E.

Hiatt, Ted E. is an sole proprietor health care provider with primary practice located at 1339 20Th St , Santa Monica CA 90404-2033. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Hiatt, Ted E. can be contacted via phone (310) 829-8945.

Contact Information

Primary practice address
1339 20Th St Santa Monica CA 90404-2033
Fax: (310) 829-8455
Website:

Profile Details

NPI number 1083740740
LBN Legal business name Hiatt, Ted E.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1083740740 NPPES
California Other 1473 BEHAVIORAL HEALTH AND SOC

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