Hasselfeld, Olivia Faeth
Hasselfeld, Olivia Faeth is an individual health care provider with primary practice located at 2 Progress Point Pkwy Div Im Medical Oncology, O Fallon MO 63368-2205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hasselfeld, Olivia Faeth can be contacted via phone (800) 647-2098.Contact Information
Primary practice address
2 Progress Point Pkwy Div Im Medical Oncology
O Fallon MO 63368-2205
Phone: (800) 647-2098
Fax: (314) 362-3192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2020026369 | Missouri |
Profile Details
| NPI number | 1194334094 |
|---|---|
| LBN Legal business name | Hasselfeld, Olivia Faeth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2020 |
| Last updated | Apr 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194334094 | NPPES |
| Missouri | MEDICAID | 220117552 |
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