Hartung, Nicole Lea Wentworth
Hartung, Nicole Lea Wentworth is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Hartung, Nicole Lea Wentworth can be contacted via phone (612) 273-8383.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (612) 273-8383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 43587 | Minnesota |
Profile Details
| NPI number | 1255300885 |
|---|---|
| LBN Legal business name | Hartung, Nicole Lea Wentworth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 12th, 2024 - about 2 months 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 | 1255300885 | NPPES |
| Minnesota | Other | HP33218 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 260472800 | HEALTHPARTNERS |
| Minnesota | Other | 3600166 | HEALTHPARTNERS |
| Minnesota | Other | 69B77WE | HEALTHPARTNERS |
| Minnesota | Other | 140263 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 34182800 | HEALTHPARTNERS |
| Minnesota | Other | 1027664 | HEALTHPARTNERS |
| Minnesota | Other | 1383614 | HEALTHPARTNERS |
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