Provider Demographics
NPI:1841531860
Name:HASIK, LINDA (18520)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HASIK
Suffix:
Gender:F
Credentials:18520
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SPARKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-4337
Mailing Address - Country:US
Mailing Address - Phone:803-699-3500
Mailing Address - Fax:803-699-3541
Practice Address - Street 1:120 SPARKLEBERRY LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-4337
Practice Address - Country:US
Practice Address - Phone:803-699-3500
Practice Address - Fax:803-699-3541
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18520163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool