Hartsough, Nicole Ann

Hartsough, Nicole Ann is an sole proprietor health care provider with primary practice located at 7402 E Riverside Blvd , Loves Park IL 61111-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Hartsough, Nicole Ann can be contacted via phone (815) 226-9642.

Contact Information

Primary practice address
7402 E Riverside Blvd Loves Park IL 61111-5630
Phone: (815) 226-9642
Fax: (815) 226-9672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois

Profile Details

NPI number 1962400382
LBN Legal business name Hartsough, Nicole Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2005
Last updated Oct 18th, 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.

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