Hatch, Keith Michael

Hatch, Keith Michael is an individual health care provider with primary practice located at 1978 Industrial Blvd , Houma LA 70363-7055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hatch, Keith Michael can be contacted via phone (985) 873-1800.

Contact Information

Primary practice address
1978 Industrial Blvd Houma LA 70363-7055
Phone: (985) 873-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA. 200541 Louisiana

Profile Details

NPI number 1609130913
LBN Legal business name Hatch, Keith Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Sep 14th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609130913 NPPES
Louisiana MEDICAID 2305468

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