Individual
WILLIAM HATCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3034
Mailing address
217 W GEORGIA AVE, STE 115, NAMPA, ID 83686-6811
(208) 463-3000
(208) 463-3034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA496
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149234
BLUE SHIELD
ID
01
—
000010149235
BLUE SHIELD
ID
01
—
P00182711
RAILROAD MEDICARE
ID
01
—
PASU1
BLUE CROSS
ID
01
—
PATF5
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
07/08/2007
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