MEDICARE: ELISHA HATCH

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1609026970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISHA HATCH

Provider Business Mailing Address
First Line	:	PO BOX 792680
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70179-2680
Country	:	US
Telephone Number	:	504-628-1736
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 TULANE AVE STE 411
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	504-821-9111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	09/23/2008

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Directions to “ ELISHA HATCH ” Practice Location

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