Provider Demographics
NPI:1568583532
Name:HASSEL, DANIELLE H (MD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:H
Last Name:HASSEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LASHEA
Other - Last Name:HINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1221
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-1221
Mailing Address - Country:US
Mailing Address - Phone:901-844-1431
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:4100 AUSTIN PEAY HWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-2502
Practice Address - Country:US
Practice Address - Phone:901-761-6157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44012208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
4205536OtherBCBS TN
TN1510142Medicaid
TN4205536OtherBCBS TN
TN4205536OtherBCBS TN
TN3002209Medicare PIN