Provider Demographics
NPI:1184229486
Name:HARTMAN, LINDY ROSE
Entity Type:Individual
Prefix:
First Name:LINDY
Middle Name:ROSE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4039 STATE ROUTE 61 S
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-8929
Mailing Address - Country:US
Mailing Address - Phone:419-689-7244
Mailing Address - Fax:
Practice Address - Street 1:4039 STATE ROUTE 61 S
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-8929
Practice Address - Country:US
Practice Address - Phone:419-689-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health