Hartzheim, Paul David

Hartzheim, Paul David is an sole proprietor health care provider with primary practice located at 701 Hewitt Blvd , Red Wing MN 55066-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hartzheim, Paul David can be contacted via phone (651) 267-5000.

Contact Information

Primary practice address
701 Hewitt Blvd Red Wing MN 55066-2848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD18302 Tennessee

Profile Details

NPI number 1588759104
LBN Legal business name Hartzheim, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 11th, 2021 - about 4 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 1588759104 NPPES
Tennessee MEDICAID 3028759

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