Hartvigsen, Nicole L
Hartvigsen, Nicole L is an individual health care provider with primary practice located at 407 N. Washington Street Ste. 100, Falls Church VA 22046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hartvigsen, Nicole L can be contacted via phone (703) 237-5919.Contact Information
Primary practice address
407 N. Washington Street Ste. 100
Falls Church VA 22046
Phone: (703) 237-5919
Fax: (703) 241-1863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2005007054 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-31628 | Kansas |
Profile Details
| NPI number | 1184680241 |
|---|---|
| LBN Legal business name | Hartvigsen, Nicole L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 18th, 2012 - about 13 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 | 1184680241 | NPPES |
| Kansas | MEDICAID | 200332820A | |
| Kansas | MEDICAID | 207198904 |
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