Basic Information
| Provider Information | |||||||||
| NPI: | 1104833797 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HARTMAN HEALTH SERVICES, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5911 NEBESHONE LN | ||||||||
| Address2: | |||||||||
| City: | ROCKFORD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 611038926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8156338099 | ||||||||
| FaxNumber: | 8156330096 | ||||||||
| Practice Location | |||||||||
| Address1: | 5911 NEBESHONE LN | ||||||||
| Address2: | |||||||||
| City: | ROCKFORD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 611038926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8156338099 | ||||||||
| FaxNumber: | 8156330096 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 05/06/2009 | ||||||||
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| AuthorizedOfficialLastName: | HARTMAN | ||||||||
| AuthorizedOfficialFirstName: | HEATHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8156338099 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | N.P | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.