Hart, Michelle

Hart, Michelle is an individual health care provider with primary practice located at 1399 N Baldwin Avenue , Marion IN 46952-2561. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hart, Michelle can be contacted via phone (765) 660-7550.

Contact Information

Primary practice address
1399 N Baldwin Avenue Marion IN 46952-2561
Phone: (765) 660-7550
Fax: (765) 662-4467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006107A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006107A Indiana

Profile Details

NPI number 1356709604
LBN Legal business name Hart, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2016
Last updated Oct 20th, 2020 - about 6 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 1356709604 NPPES
Indiana Other 000000996990 ANTHEM
Indiana MEDICAID 201348890 ANTHEM

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