Individual provider · NPI-1
Dan Hartung, CPO
Prosthetic/Orthotic Supplier · Gallatin, TN
NPI number1609040468
StatusActive
Last updated in NPPESAug 19, 2010
Details
- NPI
- 1609040468
- Entity type
- Individual (NPI-1)
- Name
- Dan Hartung
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2008
- Last updated
- Aug 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | TN | Yes |
Practice location
1406 E BroadwaySuite D
Gallatin, TN 37066-4613
Phone 615-461-8557 · Fax 615-461-8581
Mailing address
1406 E BroadwaySuite D
Gallatin, TN 37066-4613
Phone 615-461-8557 · Fax 615-461-8581
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