Healthcare Provider Details

I. General information

NPI: 1457496648
Provider Name (Legal Business Name): ERIC JAMES HARTMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RICK JAMES HARTMAN DC

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 WISCONSIN AVE
OOSTBURG WI
53070-0125
US

IV. Provider business mailing address

PO BOX 700125 1205 WISCONSIN AVE
OOSTBURG WI
53070-0125
US

V. Phone/Fax

Practice location:
  • Phone: 920-564-6672
  • Fax: 920-564-6673
Mailing address:
  • Phone: 920-564-6672
  • Fax: 920-564-6673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3503012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: