Healthcare Provider Details

I. General information

NPI: 1346338050
Provider Name (Legal Business Name): LOUISE HASSINGER CP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WRAMC # 3H 6900 GEORGIA AVE. NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

1931 SAGEWOOD LN
RESTON VA
20191-4331
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-9830
  • Fax:
Mailing address:
  • Phone: 816-351-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberCP 3465
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: