Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 01039678A | IN |
N | 207R00000X | Internist | 01039678A | IN |
N | 111NI0900X | Internist | 01039678A | IN |
NPI | 1073750584 |
---|---|
Provider Name | Dr. Jeannie Sitzes Haseman |
First Address | Evansville, IN 47715-3370 |
Second Address | Newburgh, IN 47630-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 21/01/2009 |