Hartgrove, Janet

Hartgrove, Janet is an individual health care provider with primary practice located at 22373 Ice Trl , South Bend IN 46614-4422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hartgrove, Janet can be contacted via phone (574) 335-6242.

Contact Information

Primary practice address
22373 Ice Trl South Bend IN 46614-4422
Phone: (574) 335-6242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003393A Indiana

Profile Details

NPI number 1669781084
LBN Legal business name Hartgrove, Janet
Credentials BSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Jun 20th, 2022 - about 3 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 1669781084 NPPES
Indiana MEDICAID 201024060

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