Provider Demographics
NPI:1992326011
Name:HARTSEL, GUY G
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:G
Last Name:HARTSEL
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:GUY HARTSEL 4295 EAST COUNTY RD5 50
Mailing Address - Street 2:4295 EAST COUNTY RD 50
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883
Mailing Address - Country:US
Mailing Address - Phone:567-207-5623
Mailing Address - Fax:
Practice Address - Street 1:154 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2898
Practice Address - Country:US
Practice Address - Phone:567-207-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health