MEDICARE: HARTMAN SPINE & JOINT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	KS01-05681	KS

General Provider Information

NPI Number	:	1700262847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTMAN SPINE & JOINT LLC

Provider Business Mailing Address
First Line	:	302 E 23RD ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-3008
Country	:	US
Telephone Number	:	620-223-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 E 23RD ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-3008
Country	:	US
Telephone Number	:	620-223-1150
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GRANT HARTMAN
Credential	:
Telephone Number	:	620-223-1150

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	07/30/2015

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Directions to “HARTMAN SPINE & JOINT LLC ” Practice Location

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