Provider Demographics
NPI:1356850911
Name:NEHRT, JOEL ROBERT
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ROBERT
Last Name:NEHRT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 HOOKDALE LN
Mailing Address - Street 2:
Mailing Address - City:SMITHBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62284-1209
Mailing Address - Country:US
Mailing Address - Phone:618-292-2472
Mailing Address - Fax:
Practice Address - Street 1:1984 PEACHTREE RD NW STE 515
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5219
Practice Address - Country:US
Practice Address - Phone:404-351-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant