Hertel, Brian E

Hertel, Brian E is an individual health care provider with primary practice located at 4424 E Virgo Pl , Chandler AZ 85249-5898. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hertel, Brian E can be contacted via phone (480) 229-7651.

Contact Information

Primary practice address
4424 E Virgo Pl Chandler AZ 85249-5898
Phone: (480) 229-7651
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3065 Arizona

Profile Details

NPI number 1861491706
LBN Legal business name Hertel, Brian E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 9th, 2019 - about 5 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 1861491706 NPPES
Arizona MEDICAID 886872

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