Hettinger, Rhonda Joan

Hettinger, Rhonda Joan is an individual health care provider with primary practice located at 1615 Blackiston View Dr Suite E, Clarksville IN 47129-2035. 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. Hettinger, Rhonda Joan can be contacted via phone (812) 725-1550.

Contact Information

Primary practice address
1615 Blackiston View Dr Suite E Clarksville IN 47129-2035
Phone: (812) 725-1550
Fax: (812) 725-1553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000764A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3192P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000764A Indiana

Profile Details

NPI number 1407844996
LBN Legal business name Hettinger, Rhonda Joan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Oct 20th, 2015 - about 11 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 1407844996 NPPES
Kentucky MEDICAID 78004298
Kentucky Other 000000675091
Kentucky MEDICAID 200265080

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