Stephen J Hartsock in Avon - Sports Medicine
Stephen J Hartsock - NPI 1114938453
Stephen J Hartsock is a Sports Medicine in Avon, Indiana. Stephen J Hartsock practices all healthcare services and medical treatments related to Sports Medicine. 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 |
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Address | 1115 Ronald Reagan Pkwy, Avon, Indiana |
Phone Number | 3179628893 |
Fax Number | 3179626722 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1114938453 |
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Provider Enumeration Date | 2006-08-11 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 1115 Ronald Reagan Pkwy |
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City | Avon |
State | Indiana (IN) |
Post Code | 461236910 |
Phone Number | 3179628893 |
Fax Number | 3179626722 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | 01072804A |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
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.