Individual
DR. CARL WILLIAM HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 KINGSBOROUGH SQ, SUITE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 548-0092
Mailing address
5700 CLEVELAND ST, SUITE 228, VIRGINIA BEACH, VA 23462-1752
(757) 499-2825
(757) 499-4248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101026391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
006010172
—
VA
05
—
006092225
—
VA
01
—
05718
BC/BS NC
NC
01
—
15118
OPTIMA/SENTARA
VA
01
—
15792
SENTARA OHP/SHP
VA
01
—
250358
ANTHEM
VA
01
—
259540
ANTHEM BCBS
VA
01
—
428969
UHC/MAMSI
VA
01
—
528969
UHC/MAMSI
VA
05
—
8905718
—
NC
01
—
NON
FIRST HEALTH
VA
01
—
PAR
VA PREMIER
VA
Enumeration date
02/17/2006
Last updated
12/30/2010
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