Individual
DR. CHRISTOPHER J HASSELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4620
(937) 522-8799
Mailing address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4620
(937) 522-8799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD426412
PA
2084P0800X
Psychiatry Physician
Primary
35075689
OH
2084P0800X
Psychiatry Physician
K2034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092745F3F
MEDICARE GROUP
PA
05
—
101337720
—
PA
01
—
8K5336
MEDICARE PTAN
TX
Enumeration date
02/10/2006
Last updated
04/18/2017
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