Hartman, Keith E
Hartman, Keith E is an individual health care provider with primary practice located at 711 N Bridge Street Rm 122, Chippewa Falls WI 54729-1876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hartman, Keith E can be contacted via phone (715) 726-7788.Contact Information
Primary practice address
711 N Bridge Street Rm 122
Chippewa Falls WI 54729-1876
Phone: (715) 726-7788
Fax: (715) 726-4560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24938 020 | Wisconsin |
Profile Details
| NPI number | 1174697577 |
|---|---|
| LBN Legal business name | Hartman, Keith E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174697577 | NPPES |
| Wisconsin | MEDICAID | 30360800 |
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