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Individual

MR. DENNIS HATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15969
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770585200
NE
01
32331
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/15/2005
Last updated
08/17/2010
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