Hartwick, Russell Albert
Hartwick, Russell Albert is an individual health care provider with primary practice located at 500 Burlington Rd Ste 260, Jackson OH 45640-9360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hartwick, Russell Albert can be contacted via phone (740) 577-9181.Contact Information
Primary practice address
500 Burlington Rd Ste 260
Jackson OH 45640-9360
Phone: (740) 577-9181
Fax: (740) 577-9214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34005013 | Ohio |
Profile Details
| NPI number | 1235116583 |
|---|---|
| LBN Legal business name | Hartwick, Russell Albert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Mar 24th, 2016 - about 8 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 | 1235116583 | NPPES |
| Ohio | MEDICAID | 0789893 |
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