Individual
ALAN B. HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1471 CHESTER BLVD STE A, RICHMOND, IN 47374-1919
(765) 935-4088
(765) 966-2596
Mailing address
1471 CHESTER BLVD STE A, RICHMOND, IN 47374-1919
(765) 935-4088
(765) 966-2596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036328
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108617
BLUE SHIELD - REID HOSP
IN
05
—
100352350A
—
IN
Enumeration date
08/09/2006
Last updated
10/08/2010
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