Hartjes, Joel Mark

Hartjes, Joel Mark is an individual health care provider with primary practice located at 1001 N Gammon Rd Suite 2, Middleton WI 53562-3874. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hartjes, Joel Mark can be contacted via phone (608) 836-5600.

Contact Information

Primary practice address
1001 N Gammon Rd Suite 2 Middleton WI 53562-3874
Fax: (608) 836-4589
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4461 Wisconsin

Profile Details

NPI number 1972677920
LBN Legal business name Hartjes, Joel Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 9th, 2007 - about 19 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 1972677920 NPPES
Wisconsin MEDICAID 33784500

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