Brad Lyn Hartwig in Freeport - Physician Assistant
Brad Lyn Hartwig - NPI 1477597524
Brad Lyn Hartwig is a Physician Assistant in Freeport, Illinois. Brad Lyn Hartwig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brad Lyn Hartwig is 1477597524. The last update date is 2008-01-16.
Brad Lyn Hartwig's current location address is 1394 Kiwanis Dr Apt B302, Freeport, Illinois. You can contact this provider via phone number 8158214777. The mailing address for Brad Lyn Hartwig is 1394 Kiwanis Dr Apt B302, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Lyn Hartwig |
|---|---|
| Address | 1394 Kiwanis Dr Apt B302, Freeport, Illinois |
| Phone Number | 8158214777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1477597524 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 1394 Kiwanis Dr Apt B302 |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610326940 |
| Phone Number | 8158214777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1167 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42988500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brad Lyn Hartwig by the Centers for Medicare & Medicaid Services (CMS)?
The Brad Lyn Hartwig has been assigned the NPI (National Provider Identifier) 1477597524. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Brad Lyn Hartwig's facilities are situated?
The facilities of Brad Lyn Hartwig are physically located at the following address: 1394 Kiwanis Dr Apt B302, Freeport, IL, 610326940.
What is Brad Lyn Hartwig's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brad Lyn Hartwig's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Brad Lyn Hartwig receive the assignment of its 1477597524 from the Centers for Medicare & Medicaid Services?
The Brad Lyn Hartwig was issued its 1477597524 by the Centers for Medicare & Medicaid Services on 2006-06-16.
As of what date was the information regarding Brad Lyn Hartwig, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad Lyn Hartwig, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-16.