Hartley, J Edward
Hartley, J Edward is an sole proprietor health care provider with primary practice located at 1740 Tree Blvd Ste 115, Saint Augustine FL 32084-5720. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Hartley, J Edward can be contacted via phone (904) 679-3233.Contact Information
Primary practice address
1740 Tree Blvd Ste 115
Saint Augustine FL 32084-5720
Phone: (904) 679-3233
Fax: (904) 679-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 6696 | Florida |
Profile Details
| NPI number | 1750458378 |
|---|---|
| LBN Legal business name | Hartley, J Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Feb 28th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750458378 | NPPES |
| Florida | MEDICAID | 380921800 | |
| Florida | Other | 593375448 |
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