Individual
SEAN HASSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-10077
ID
207X00000X
Orthopaedic Surgery Physician
R2871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64233324
—
NM
Enumeration date
06/05/2006
Last updated
08/14/2019
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