Provider Demographics
NPI:1932998705
Name:HASSON, ALFREDO D
Entity type:Individual
Prefix:
First Name:ALFREDO
Middle Name:D
Last Name:HASSON
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 1:2506 N 134TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-4033
Mailing Address - Country:US
Mailing Address - Phone:402-677-5447
Mailing Address - Fax:402-556-1234
Practice Address - Street 1:2506 N 134TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-4033
Practice Address - Country:US
Practice Address - Phone:402-677-5447
Practice Address - Fax:402-556-1234
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant