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NPI Code Detail

MEDICARE: MS. LOUISE CANTEY HASELL MD

MEDICARE:  MS. LOUISE CANTEY HASELL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician41245KY
2207R00000XInternal Medicine Physician35070810OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00373245OTHEROHRR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1023076924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOUISE CANTEY HASELL MD
Provider Business Mailing Address
First Line : 4038 RHODES AVE
Second Line :
City : NEW BOSTON
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-353-3236
Fax Number : 740-353-4803
Provider Business Practice Location Address
First Line : 4038 RHODES AVE
Second Line :
City : NEW BOSTON
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-353-3236
Fax Number : 740-353-4801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 03/11/2020

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Directions to “ MS. LOUISE CANTEY HASELL MD” Practice Location

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