Hatesohl, Stanley Melvin

Hatesohl, Stanley Melvin is an individual health care provider with primary practice located at 410 Ponce De Leon Dr , Hot Springs Village AR 71909-8121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hatesohl, Stanley Melvin can be contacted via phone (501) 922-1700.

Contact Information

Primary practice address
410 Ponce De Leon Dr Hot Springs Village AR 71909-8121
Phone: (501) 922-1700
Fax: (501) 922-0826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21750 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-13524 Arkansas

Profile Details

NPI number 1396793741
LBN Legal business name Hatesohl, Stanley Melvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Sep 28th, 2020 - about 6 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 1396793741 NPPES
Kansas MEDICAID 100206090B

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