Eric R Hartman, DC, PLLC
Organization Active NPI Chiropractor · Jenison, MI
NPI 1982886776 · NPPES record last updated Sep 17, 2009
Key facts
- NPI
- 1982886776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- EH008464 (MI)
- Legal business name
- ERIC R HARTMAN, DC, PLLC
- Practice address
- 7610 Cottonwood Dr
Ste 101
Jenison, MI 49428-8310 - Phone
- (616) 457-1168
- Fax
- (616) 457-1196
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric R Hartman, D.C.
- Title
- Member
- Phone
- (616) 457-1168
Practitioners 4
-
Eric Ryan Hartman, D. C.
-
Matthew Carl Schrader, D.C.
-
Daniel J Weessies, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100127000843 | MI | Part B Supplier - Clinic/Group Practice | 2062554124 |
Receives reassigned benefits from 3 practitioners Practice locations: Jenison, MI |
National Provider Directory
Locations
7610 Cottonwood Dr
Ste 101
Jenison, MI 49428
Phone (616) 457-1168
302 Baldwin St
Jenison, MI 49428
Phone (616) 457-1168
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | EH008464 | MI | Yes |
Addresses
Primary practice location
7610 Cottonwood Dr
Ste 101
Jenison, MI 49428-8310
Mailing address
7610 Cottonwood Dr
Ste 101
Jenison, MI 49428-8310
Phone (616) 457-1168
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3244583 | Medicaid | MI |
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.