Hartl, Jean A

Hartl, Jean A is an individual health care provider with primary practice located at 125 Frazee St E , Detroit Lakes MN 56501-3501. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Hartl, Jean A can be contacted via phone (218) 844-2300.

Contact Information

Primary practice address
125 Frazee St E Detroit Lakes MN 56501-3501
Phone: (218) 844-2300
Fax: (218) 844-2444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1912950007
LBN Legal business name Hartl, Jean A
Credentials RDLD/CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1912950007 NPPES
Minnesota Other 6300391 MEDICA ID-DL
Minnesota Other HP58124 MEDICA ID-DL
Minnesota Other 25880 MEDICA ID-DL

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