Bredesen Hartmann
Dermatologist
751 N Rutledge St Ste 2300
Springfield
, Illinois 62702-4968
Bredesen Hartmann
Dermatologist
751 N Rutledge St Ste 2300
Springfield
, Illinois 62702-4968
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Bredesen Hartmann
- Po Box 19644
- Springfield, IL
- Zip : 62794-9644
- Phone :
Second Address
- Bredesen Hartmann
- 751 N Rutledge St Ste 2300
- Springfield, IL
- Zip : 62702-4968
- Fax : (217) 545-7438
- Phone : (217) 545-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 125077870 | IL |
National Provider Identifier
| NPI | 1003480708 |
|---|---|
| Provider Name | Bredesen Hartmann |
| First Address | Springfield, IL 62794-9644 |
| Second Address | Springfield, IL 62702-4968 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2021 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.