Hartwell, Laurel Hickok
Hartwell, Laurel Hickok is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Hartwell, Laurel Hickok can be contacted via phone (541) 382-2811.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD151664 | Oregon |
Profile Details
| NPI number | 1265652531 |
|---|---|
| LBN Legal business name | Hartwell, Laurel Hickok |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265652531 | NPPES |
| Oregon | Other | P01357484 | RAILROAD MEDICARE |
| Oregon | Other | 12725068 | RAILROAD MEDICARE |
| Oregon | MEDICAID | 500624979 | RAILROAD MEDICARE |
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