Hartman, Amy J.

Hartman, Amy J. is an individual health care provider with primary practice located at 611 E Douglas Rd Suite 408, Mishawaka IN 46545-1464. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hartman, Amy J. can be contacted via phone (574) 335-6440.

Contact Information

Primary practice address
611 E Douglas Rd Suite 408 Mishawaka IN 46545-1464
Phone: (574) 335-6440
Fax: (574) 335-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001779 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 71001779A Indiana

Profile Details

NPI number 1376502922
LBN Legal business name Hartman, Amy J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 28th, 2022 - about 2 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 1376502922 NPPES
Indiana Other 000000341502 ANTHEM
Indiana Other 000001006136 ANTHEM
Indiana MEDICAID 200492340 ANTHEM

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