Hart, Jonathan D

Hart, Jonathan D is an individual health care provider with primary practice located at 2605 E Creeks Edge Dr , Bloomington IN 47401-8368. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hart, Jonathan D can be contacted via phone (812) 355-2300.

Contact Information

Primary practice address
2605 E Creeks Edge Dr Bloomington IN 47401-8368
Phone: (812) 355-2300
Fax: (812) 355-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01039715 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01039715A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01039715A Indiana

Profile Details

NPI number 1154300770
LBN Legal business name Hart, Jonathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Sep 9th, 2010 - about 15 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 1154300770 NPPES
Indiana MEDICAID 200008900

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