Hartley, John C.

Hartley, John C. is an sole proprietor health care provider with primary practice located at 5916 Sicilian Cir , Plano TX 75093-7016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hartley, John C. can be contacted via phone (972) 948-0698.

Contact Information

Primary practice address
5916 Sicilian Cir Plano TX 75093-7016
Phone: (972) 948-0698
Fax: (972) 312-8765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 627353 Texas

Profile Details

NPI number 1780683433
LBN Legal business name Hartley, John C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Sep 30th, 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 1780683433 NPPES
Texas MEDICAID 149479101

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