Hardten, David R

Hardten, David R is an individual health care provider with primary practice located at 710 E 24Th St Suite 100, Minneapolis MN 55404-3840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hardten, David R can be contacted via phone (612) 813-3600.

Contact Information

Primary practice address
710 E 24Th St Suite 100 Minneapolis MN 55404-3840
Phone: (612) 813-3600
Fax: (612) 813-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31920 Minnesota

Profile Details

NPI number 1508851387
LBN Legal business name Hardten, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 25th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508851387 NPPES
Wisconsin MEDICAID 30696200
Wisconsin MEDICAID 828590000

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