Hartung, Robert W

Hartung, Robert W is an individual health care provider with primary practice located at 1970 E 53Rd St , Davenport IA 52807-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hartung, Robert W can be contacted via phone (563) 359-3949.

Contact Information

Primary practice address
1970 E 53Rd St Davenport IA 52807-2710
Phone: (563) 359-3949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18670 Iowa

Profile Details

NPI number 1285694612
LBN Legal business name Hartung, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 9th, 2007 - about 17 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 1285694612 NPPES
Other 23036 BCBS IA RGIC LLC
MEDICAID 0018135 BCBS IA RGIC LLC
MEDICAID 5018135 BCBS IA RGIC LLC
Other 31249 BCBS IA RGIC LLC

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