Hartzell, Tristan Layton
Hartzell, Tristan Layton is an sole proprietor health care provider with primary practice located at 301 N 27Th St Suite 2, Norfolk NE 68701-4401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Hartzell, Tristan Layton can be contacted via phone (402) 844-8291.Contact Information
Primary practice address
301 N 27Th St Suite 2
Norfolk NE 68701-4401
Phone: (402) 844-8291
Fax: (402) 844-8292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 26210 | Nebraska |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 26210 | Nebraska |
Profile Details
| NPI number | 1184797110 |
|---|---|
| LBN Legal business name | Hartzell, Tristan Layton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Aug 20th, 2014 - about 11 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 | 1184797110 | NPPES |
| Nebraska | Other | 099588036 | MEDICARE |
| Nebraska | Other | 20079 | MEDICARE |
| Nebraska | MEDICAID | 10025561800 | MEDICARE |
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