Hartzler, Jacqueline Lee
Hartzler, Jacqueline Lee is an individual health care provider with primary practice located at 21 Grand St , Hartford CT 06106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hartzler, Jacqueline Lee can be contacted via phone (860) 550-7500.Contact Information
Primary practice address
21 Grand St
Hartford CT 06106
Phone: (860) 550-7500
Fax: (860) 550-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 040712 | Connecticut |
Profile Details
| NPI number | 1336112051 |
|---|---|
| LBN Legal business name | Hartzler, Jacqueline Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336112051 | NPPES |
| Connecticut | Other | 38722 | CONTROLLED SUBSTANCE |
| Connecticut | Other | 040712 | CONTROLLED SUBSTANCE |
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