Hartog, Nicholas L

Hartog, Nicholas L is an individual health care provider with primary practice located at 3271 Clear Vista Ct Ne , Grand Rapids MI 49525-9477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Hartog, Nicholas L can be contacted via phone (616) 267-7125.

Contact Information

Primary practice address
3271 Clear Vista Ct Ne Grand Rapids MI 49525-9477
Phone: (616) 267-7125
Fax: (616) 267-9593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2014010402 Missouri
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301108955 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R-9168 Iowa

Profile Details

NPI number 1669766325
LBN Legal business name Hartog, Nicholas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2011
Last updated Mar 17th, 2021 - about 5 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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