Hotard, Dale P

Hotard, Dale P is an individual health care provider with primary practice located at 103 Fairview Dr , Vicksburg MS 39180-8934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hotard, Dale P can be contacted via phone (314) 258-1988.

Contact Information

Primary practice address
103 Fairview Dr Vicksburg MS 39180-8934
Phone: (314) 258-1988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 901422 Mississippi

Profile Details

NPI number 1609314400
LBN Legal business name Hotard, Dale P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2017
Last updated Feb 1st, 2017 - about 9 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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