Hartwig, Bruce Allan
Hartwig, Bruce Allan is an individual health care provider with primary practice located at 3 Shircliff Way Ste 752 Suite 752, Jacksonville FL 32204-4786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hartwig, Bruce Allan can be contacted via phone (904) 389-6226.Contact Information
Primary practice address
3 Shircliff Way Ste 752 Suite 752
Jacksonville FL 32204-4786
Phone: (904) 389-6226
Fax: (904) 388-7265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME0039317 | Florida |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME003932000 | Florida |
Profile Details
NPI number | 1619974946 |
---|---|
LBN Legal business name | Hartwig, Bruce Allan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Dec 17th, 2019 - about 5 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 | 1619974946 | NPPES |
Florida | Other | 0623807 | AETNA INS PROVIDER NUMBER |
Florida | Other | 592157126 | AETNA INS PROVIDER NUMBER |
Florida | Other | 130000461 | AETNA INS PROVIDER NUMBER |
Florida | Other | 40188 | AETNA INS PROVIDER NUMBER |
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