Stephen J Hartsock is a Specialist in Avon, Indiana. Stephen J Hartsock practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stephen J Hartsock is 1114938453. The last update date is 2023-03-07.
Stephen J Hartsock's current location address is 1115 Ronald Reagan Pkwy, Avon, Indiana. You can contact this provider via phone number 3179628893 and fax number 3179626722. The mailing address for Stephen J Hartsock is 1115 Ronald Reagan Pkwy, Avon, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen J Hartsock |
|---|---|
| Address | 1115 Ronald Reagan Pkwy, Avon, Indiana |
| Phone Number | 3179628893 |
| Fax Number | 3179626722 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114938453 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1115 Ronald Reagan Pkwy |
|---|---|
| City | Avon |
| State | Indiana (IN) |
| Post Code | 461236910 |
| Phone Number | 3179628893 |
| Fax Number | 3179626722 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36110046 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336070768 | IL | CONTROLLED SUBSTANCE # | |
| 201166240 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen J Hartsock by the Centers for Medicare & Medicaid Services?
The Stephen J Hartsock has been assigned the NPI (National Provider Identifier) 1114938453 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Stephen J Hartsock?
The Stephen J Hartsock is physically situated at 1115 Ronald Reagan Pkwy, in the city of Avon, state of IN, with the postal code 461236910.
What is Stephen J Hartsock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen J Hartsock's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Stephen J Hartsock receive the assignment of its 1114938453 from the Centers for Medicare & Medicaid Services?
The Stephen J Hartsock was issued its 1114938453 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information related to Stephen J Hartsock most recently updated or refreshed?
The details pertaining to the Stephen J Hartsock, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.