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NPI Code Detail

MEDICARE: HILARY L HARTMAN MSW

MEDICARE: HILARY L HARTMAN MSW
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
1104100000XSocial Worker6053KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528353927
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILARY L HARTMAN MSW
Provider Business Mailing Address
First Line : 126 WASHINGTON ST
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5954
Country : US
Telephone Number : 907-225-3511
Fax Number :
Provider Business Practice Location Address
First Line : 126 WASHINGTON ST
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5954
Country : US
Telephone Number : 907-225-3511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 11/18/2020

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