# HARTJEN SPINE CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194172759
- **Authorized official:** DR. CHARLES A HARTJEN M.D. (PRESIDENT)
- **Authorized official phone:** (410) 274-4080

## Contact information

- **Practice address:** 615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
- **Practice address phone:** (443) 643-2078
- **Practice address fax:** (443) 643-2088
- **Mailing address:** 615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
- **Mailing address phone:** (443) 643-2082
- **Mailing address fax:** (443) 643-1537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D33378 | MD | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 08/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 407041100 | — | MD |