Hantla, Jacob D

Hantla, Jacob D is an individual health care provider with primary practice located at 1849 W Orchid Ln , Chandler AZ 85224-9034. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Hantla, Jacob D can be contacted via phone (480) 241-3769.

Contact Information

Primary practice address
1849 W Orchid Ln Chandler AZ 85224-9034
Phone: (480) 241-3769
Fax: (480) 393-4109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN139385 Arizona
Nursing Service Providers / Registered Nurse 163W00000X RN9307995 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0786 Arizona

Profile Details

NPI number 1598043572
LBN Legal business name Hantla, Jacob D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Sep 16th, 2011 - about 13 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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