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Contact Information

LARRY J HATTEL, MD
3235 SPARKS RD
SUITE 200
CHEYENNE, WY82001-6158
 Phone: 307-638-8975
 Fax: 307-634-9267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LARRY J HATTEL · (Male)

NPI # 1629019351
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 02/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 4666A
  • WY Medicaid 1629019351
  • WY Other P00720533 RAILROAD MEDICARE - PALMETTO GBA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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