Individual
DR. MARVIN KAY HATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2842A POCATELLO AVE, SUITE 104, AMERICAN FALLS, ID 83211-0308
(208) 226-2338
Mailing address
PO BOX 308, AMERICAN FALLS, ID 83211-0308
(208) 226-2338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-551
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008072
BLUE SHIELD
ID
01
—
C5519
BLUE CROSS
ID
Enumeration date
08/29/2006
Last updated
07/09/2007
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