Hazlett, Heather Gersbacher
Hazlett, Heather Gersbacher is an individual health care provider with primary practice located at 25 Monument Rd Suite 290, York PA 17403-5060. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hazlett, Heather Gersbacher can be contacted via phone (717) 812-4090.Contact Information
Primary practice address
25 Monument Rd Suite 290
York PA 17403-5060
Phone: (717) 812-4090
Fax: (717) 812-4092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006869 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 006869 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA053963 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA053963 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA053963 | Pennsylvania |
Profile Details
| NPI number | 1285700807 |
|---|---|
| LBN Legal business name | Hazlett, Heather Gersbacher |
| Credentials | RPA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 14th, 2016 - about 9 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 | 1285700807 | NPPES |
| Pennsylvania | Other | 2130941 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 02199948 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 1585197 | HIGHMARK BLUE SHIELD |
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