Individual
DAN HARTUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1406 E BROADWAY, SUITE D, GALLATIN, TN 37066-4613
(615) 461-8557
(615) 461-8581
Mailing address
1406 E BROADWAY, SUITE D, GALLATIN, TN 37066-4613
(615) 461-8557
(615) 461-8581
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ORT0000000159
PROFESSIONAL LICENSE
TN
Enumeration date
04/14/2008
Last updated
08/19/2010
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