Joeli Hettler
Pediatric Emergency Physician Pediatric Emergency Doctor
759 Chestnut Street
Springfield
, Massachusetts 01199-1619
Joeli Hettler
Pediatric Emergency Physician Pediatric Emergency Doctor
759 Chestnut Street
Springfield
, Massachusetts 01199-1619
(413) 794-5700
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Joeli Hettler
- 280 Chestnut Street 2nd Floor
- Springfield, MA
- Zip : 01199-1619
- Phone : (413) 794-5700
Second Address
- Joeli Hettler
- 759 Chestnut Street
- Springfield, MA
- Zip : 01199-1619
- Phone : (413) 794-3233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 159779 | MA |
| N | 2080P0204X | Pediatric Emergency Doctor | 159779 | MA |
National Provider Identifier
| NPI | 1639118722 |
|---|---|
| Provider Name | Joeli Hettler |
| First Address | Springfield, MA 01199-1619 |
| Second Address | Springfield, MA 01199-1619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 11/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110001718A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.