Hartley, Frederick C

Hartley, Frederick C is an individual health care provider with primary practice located at 203 E Watauga Ave , Johnson City TN 37601-4629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hartley, Frederick C can be contacted via phone (423) 926-2129.

Contact Information

Primary practice address
203 E Watauga Ave Johnson City TN 37601-4629
Phone: (423) 926-2129
Fax: (423) 926-8576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11190 Tennessee

Profile Details

NPI number 1760487946
LBN Legal business name Hartley, Frederick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760487946 NPPES
Tennessee MEDICAID 3173953

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