Hartwig, Bruce Allan

Hartwig, Bruce Allan is an individual health care provider with primary practice located at 3 Shircliff Way Ste 752 Suite 752, Jacksonville FL 32204-4786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hartwig, Bruce Allan can be contacted via phone (904) 389-6226.

Contact Information

Primary practice address
3 Shircliff Way Ste 752 Suite 752 Jacksonville FL 32204-4786
Phone: (904) 389-6226
Fax: (904) 388-7265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0039317 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME003932000 Florida

Profile Details

NPI number 1619974946
LBN Legal business name Hartwig, Bruce Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619974946 NPPES
Florida Other 0623807 AETNA INS PROVIDER NUMBER
Florida Other 592157126 AETNA INS PROVIDER NUMBER
Florida Other 130000461 AETNA INS PROVIDER NUMBER
Florida Other 40188 AETNA INS PROVIDER NUMBER

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