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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1336112051 NPPES
Connecticut Other 38722 CONTROLLED SUBSTANCE
Connecticut Other 040712 CONTROLLED SUBSTANCE

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