# JAYSON C HARTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801028741
- **Gender:** Man
- **Credential:** PAS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001104A | IN | Yes |
| 363A00000X | Physician Assistant | 50.003006 | OH | — |

## Other

- **Enumeration date:** 08/11/2009
- **Last updated:** 02/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000768377 | ANTHEM - REID HOSPITAL | — |
| 05 | — | 0111096 | — | OH |