Individual
JEFFREY ALLAN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7135 TWIN OAKS DR, SUITE H, INDIANAPOLIS, IN 46226-6847
(317) 222-8827
Mailing address
7802 POORMAN LN, PIGEON, MI 48755-9791
(317) 222-8827
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/14/2012
Last updated
03/23/2015
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