Christian Hackshaw, MD | |
5176 Hill Rd E, Emergency Department, Lakeport, CA 95453-6300 | |
(707) 262-5050 | |
(707) 262-5053 |
Full Name | Christian Hackshaw |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5176 Hill Rd E, Lakeport, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881637023 | NPI | - | NPPES |
00C511950 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C51195 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Christian Hackshaw, MD 3843 Glebe Rd, Kelseyville, CA 95451-8251 Ph: (707) 295-6080 | Christian Hackshaw, MD 5176 Hill Rd E, Emergency Department, Lakeport, CA 95453-6300 Ph: (707) 262-5050 |
Sofia Kenneally, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 | |
Edward M. Fedun, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Road E., Lakeport, CA 95453 Phone: 707-262-5000 |