Hartsock, Stephen J

Hartsock, Stephen J is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 148, Avon IN 46123-6910. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hartsock, Stephen J can be contacted via phone (317) 962-8893.

Contact Information

Primary practice address
1115 Ronald Reagan Pkwy Ste 148 Avon IN 46123-6910
Phone: (317) 962-8893
Fax: (317) 962-6722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036110046 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01072804A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01072804A Indiana

Profile Details

NPI number 1114938453
LBN Legal business name Hartsock, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 7th, 2023 - 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 1114938453 NPPES
Illinois Other 336070768 CONTROLLED SUBSTANCE #
Illinois MEDICAID 201166240 CONTROLLED SUBSTANCE #

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