Hartle, Marcy A.

Hartle, Marcy A. is an sole proprietor health care provider with primary practice located at 865 Beaver Dr , Du Bois PA 15801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hartle, Marcy A. can be contacted via phone (814) 371-1510.

Contact Information

Primary practice address
865 Beaver Dr Du Bois PA 15801
Phone: (814) 371-1510
Fax: (814) 371-2922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD453017 Pennsylvania
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 161877 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME161877 Florida

Profile Details

NPI number 1356319149
LBN Legal business name Hartle, Marcy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Oct 29th, 2019 - about 5 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 1356319149 NPPES
New York MEDICAID 016848817
New York MEDICAID 101066300

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