Provider Demographics
NPI:1316260235
Name:HASTEY, ERNEST
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:HASTEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 BENT AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-2574
Mailing Address - Country:US
Mailing Address - Phone:307-635-1694
Mailing Address - Fax:
Practice Address - Street 1:3222 BENT AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-2574
Practice Address - Country:US
Practice Address - Phone:307-635-1694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter