Healthcare Provider Details

I. General information

NPI: 1861487332
Provider Name (Legal Business Name): ROBERT E HASSLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 DOCTORS CIR SUITE 5
SUPPLY NC
28462-4097
US

IV. Provider business mailing address

14 DOCTORS CIR SUITE 5
SUPPLY NC
28462-4097
US

V. Phone/Fax

Practice location:
  • Phone: 910-754-9166
  • Fax: 910-754-2972
Mailing address:
  • Phone: 910-754-9166
  • Fax: 910-754-2972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number28508
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: