| Haertling Family Practice Pllc | |
|
940 23rd St Batesville AR 72501-6037 | |
| (870) 569-4341 | |
| (870) 569-4004 |
| Full Name | Haertling Family Practice Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 940 23rd St, Batesville, Arkansas |
| Authorized Official Name and Position | Eric Benjamin Haertling (OWNER) |
| Authorized Official Contact | 8705984075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haertling Family Practice Pllc 940 23rd St Batesville AR 72501-6037 Ph: (870) 569-4341 | Haertling Family Practice Pllc 940 23rd St Batesville AR 72501-6037 Ph: (870) 569-4341 |
| NPI Number | 1821789785 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 9931569928 |
|---|---|
| Medicare Enrollment ID | O20230724000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821789785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Eric B Haertling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245666536 PECOS PAC ID: 6305071010 Enrollment ID: I20131106000451 |
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