Hartig, Donald E

Hartig, Donald E is an individual health care provider with primary practice located at 2714 Riverview Dr , Green Bay WI 54313-6715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hartig, Donald E can be contacted via phone (920) 430-4760.

Contact Information

Primary practice address
2714 Riverview Dr Green Bay WI 54313-6715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34518 Wisconsin

Profile Details

NPI number 1073597803
LBN Legal business name Hartig, Donald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 14th, 2014 - about 12 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 1073597803 NPPES
Wisconsin MEDICAID 34336000
Wisconsin Other 34518

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