Hennessy-Harstad, Ellen

Hennessy-Harstad, Ellen is an individual health care provider with primary practice located at 9128 Columbia Ave , Munster IN 46321-2907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hennessy-Harstad, Ellen can be contacted via phone (219) 836-2730.

Contact Information

Primary practice address
9128 Columbia Ave Munster IN 46321-2907
Phone: (219) 836-2730
Fax: (219) 836-0244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000811A Indiana

Profile Details

NPI number 1639337413
LBN Legal business name Hennessy-Harstad, Ellen
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated May 28th, 2008 - 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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