Hartley, Thomas Mark

Hartley, Thomas Mark is an individual health care provider with primary practice located at 4444 Magnolia Ave , Riverside CA 92501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hartley, Thomas Mark can be contacted via phone (951) 682-5661.

Contact Information

Primary practice address
4444 Magnolia Ave Riverside CA 92501
Phone: (951) 682-5661
Fax: (951) 686-3758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 100628 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G89301 California

Profile Details

NPI number 1164407391
LBN Legal business name Hartley, Thomas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 13th, 2018 - about 6 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 1164407391 NPPES
Other 1164407391 COVENTRY
Other P00455132 COVENTRY
Other 18475026 COVENTRY
Other 3076318 COVENTRY
Other 4364771 COVENTRY
Other 1164407391 COVENTRY
Other 1093058 COVENTRY

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