Hartlage, Patricia
Hartlage, Patricia is an individual health care provider with primary practice located at 4301 University Pkwy , Evans GA 30809-3089. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hartlage, Patricia can be contacted via phone (706) 854-2534.Contact Information
Primary practice address
4301 University Pkwy
Evans GA 30809-3089
Phone: (706) 854-2534
Fax: (706) 854-2559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 014815 | Georgia |
Profile Details
| NPI number | 1598769937 |
|---|---|
| LBN Legal business name | Hartlage, Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598769937 | NPPES |
| Georgia | MEDICAID | 00013835G |
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