Individual
JAMES O HARTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 E COOLSPRING AVE STE 200, MICHIGAN CITY, IN 46360-6312
(219) 861-8161
(219) 873-9504
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01051992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111008
ANTHEM, BCBS
IN
05
—
200286870
—
IN
Enumeration date
08/04/2006
Last updated
10/02/2023
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