Provider Demographics
NPI:1922263896
Name:HARTMANN, EMILY C (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4680 SONGBIRD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-8965
Mailing Address - Country:US
Mailing Address - Phone:202-255-7494
Mailing Address - Fax:
Practice Address - Street 1:1209 ESPLANADE STE 4
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3397
Practice Address - Country:US
Practice Address - Phone:530-592-0882
Practice Address - Fax:530-730-9000
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129965208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA129965OtherCALIFORNIA PHYSICIAN LICENSE