Provider Demographics
NPI:1295088896
Name:HATTINGH INCORPORATED
Entity type:Organization
Organization Name:HATTINGH INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HATTINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-673-8229
Mailing Address - Street 1:44115 WOODRIDGE PKWY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5199
Mailing Address - Country:US
Mailing Address - Phone:703-723-2803
Mailing Address - Fax:703-723-2804
Practice Address - Street 1:44115 WOODRIDGE PKWY
Practice Address - Street 2:SUITE 180
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5199
Practice Address - Country:US
Practice Address - Phone:571-445-3390
Practice Address - Fax:571-445-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier