Hartman, Randy G
Hartman, Randy G is an individual health care provider with primary practice located at 620 Woodmere Ave , Traverse City MI 49686-3397. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hartman, Randy G can be contacted via phone (231) 946-8822.Contact Information
Primary practice address
620 Woodmere Ave
Traverse City MI 49686-3397
Phone: (231) 946-8822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | RH001180 | Michigan |
Profile Details
| NPI number | 1467492363 |
|---|---|
| LBN Legal business name | Hartman, Randy G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 22nd, 2021 - about 3 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 | 1467492363 | NPPES |
| Michigan | MEDICAID | 2879030 |
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