Hantl, Judith Anne

Hantl, Judith Anne is an individual health care provider with primary practice located at 13109 Titleist Dr , Hudson FL 34669-2411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hantl, Judith Anne can be contacted via phone (727) 856-2357.

Contact Information

Primary practice address
13109 Titleist Dr Hudson FL 34669-2411
Phone: (727) 856-2357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A10236RX Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003216 Virginia

Profile Details

NPI number 1255597993
LBN Legal business name Hantl, Judith Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Jan 5th, 2010 - about 15 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 1255597993 NPPES
Louisiana Other A10236RX LA STATE LICENSE
Louisiana MEDICAID 1332402 LA STATE LICENSE

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