Individual
DR. JOSEPH EDWARD HARTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 VIOLET RD, CRITTENDEN, KY 41030-7480
(859) 428-1610
(859) 428-3923
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 428-1610
(859) 428-3923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32471
KY
208000000X
Pediatrics Physician
32471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151246
MEDICAID
OH
05
—
64324718
—
KY
Enumeration date
03/23/2006
Last updated
09/10/2018
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