Hartman, Shane D.
Hartman, Shane D. is an sole proprietor health care provider with primary practice located at 1621 S Minnesota Ave , Sioux Falls SD 57105-1743. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hartman, Shane D. can be contacted via phone (605) 328-9200.Contact Information
Primary practice address
1621 S Minnesota Ave
Sioux Falls SD 57105-1743
Phone: (605) 328-9200
Fax: (605) 328-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 586 | South Dakota |
Profile Details
| NPI number | 1699818013 |
|---|---|
| LBN Legal business name | Hartman, Shane D. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Dec 27th, 2019 - about 7 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 | 1699818013 | NPPES |
| South Dakota | Other | 42581 | SPECTERA |
| South Dakota | MEDICAID | 9201352 | SPECTERA |
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