Haertling, Devin D

Haertling, Devin D is an individual health care provider with primary practice located at 4121 Veterans Memorial Dr , Mount Vernon IL 62864-6262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haertling, Devin D can be contacted via phone (618) 242-3778.

Contact Information

Primary practice address
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003979 Illinois

Profile Details

NPI number 1144526963
LBN Legal business name Haertling, Devin D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2011
Last updated Jan 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144526963 NPPES
Illinois Other 085003979 STATE LICENSE

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