Hartzell, Jill Ann

Hartzell, Jill Ann is an individual health care provider with primary practice located at 509 Ansborough Ave. Suite A, Waterloo IA 50701. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hartzell, Jill Ann can be contacted via phone (319) 226-4404.

Contact Information

Primary practice address
509 Ansborough Ave. Suite A Waterloo IA 50701
Fax: (319) 226-4406
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06877 Iowa

Profile Details

NPI number 1871545079
LBN Legal business name Hartzell, Jill Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 11th, 2008 - about 16 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 1871545079 NPPES
Iowa Other I17438 MEDICARE ID-PIN
Iowa MEDICAID 0486209 MEDICARE ID-PIN

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