Bartley, Johannes Jack

Bartley, Johannes Jack is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bartley, Johannes Jack can be contacted via phone (801) 910-1089.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (801) 910-1089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA203060 Maine

Profile Details

NPI number 1194217281
LBN Legal business name Bartley, Johannes Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Feb 9th, 2022 - about 2 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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