Den Hartog, Bryan D
Den Hartog, Bryan D is an individual health care provider with primary practice located at 1701 Curve Crest Blvd W Ste 104 , Stillwater MN 55082-6181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Den Hartog, Bryan D can be contacted via phone (651) 439-8807.Contact Information
Primary practice address
1701 Curve Crest Blvd W Ste 104
Stillwater MN 55082-6181
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 28013 | Iowa |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 3947 | South Dakota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 62397 | Minnesota |
Profile Details
| NPI number | 1043299738 |
|---|---|
| LBN Legal business name | Den Hartog, Bryan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043299738 | NPPES |
| Minnesota | MEDICAID | 1043299738 | |
| Minnesota | MEDICAID | 1043299738 |
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