Hartzog, John Gary

Hartzog, John Gary is an individual health care provider with primary practice located at 470 Taylor Rd , Montgomery AL 36117-3563. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hartzog, John Gary can be contacted via phone (334) 226-4048.

Contact Information

Primary practice address
470 Taylor Rd Montgomery AL 36117-3563
Phone: (334) 226-4048
Fax: (334) 323-5675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-039697 Alabama

Profile Details

NPI number 1255395190
LBN Legal business name Hartzog, John Gary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 23rd, 2019 - about 6 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 1255395190 NPPES
Alabama Other 512-14837 BCBS
Alabama Other 430071799 BCBS
Alabama Other 430045002 BCBS
Alabama MEDICAID 222102 BCBS

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