Hartle, Edgar O.

Hartle, Edgar O. is an individual health care provider with primary practice located at 171 Fairview Rd , Mooresville NC 28117-9500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hartle, Edgar O. can be contacted via phone (704) 660-4512.

Contact Information

Primary practice address
171 Fairview Rd Mooresville NC 28117-9500
Phone: (704) 660-4512
Fax: (704) 660-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 26934 North Carolina

Profile Details

NPI number 1194789578
LBN Legal business name Hartle, Edgar O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 7th, 2023 - about 3 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 1194789578 NPPES
North Carolina Other 1227P BCBS
North Carolina Other 26934 BCBS
North Carolina MEDICAID 891227P BCBS

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