Hart, Jeffrey Glen

Hart, Jeffrey Glen is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum NY 13602-5438. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hart, Jeffrey Glen can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac/Credentials Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50-000688 Ohio

Profile Details

NPI number 1396728846
LBN Legal business name Hart, Jeffrey Glen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 17 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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