Provider Demographics
NPI:1134399017
Name:STEVEN A HARTUNG, DPM
Entity type:Organization
Organization Name:STEVEN A HARTUNG, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARTUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-323-7848
Mailing Address - Street 1:1431 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-5424
Mailing Address - Country:US
Mailing Address - Phone:570-323-7848
Mailing Address - Fax:570-323-4681
Practice Address - Street 1:1431 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-5424
Practice Address - Country:US
Practice Address - Phone:570-323-7848
Practice Address - Fax:570-323-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003444L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3956670001Medicare NSC