Provider Demographics
NPI:1275734147
Name:HARTMANN, ERIC PAUL (DVM, MAC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PAUL
Last Name:HARTMANN
Suffix:
Gender:M
Credentials:DVM, MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 10TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4106
Mailing Address - Country:US
Mailing Address - Phone:206-769-6079
Mailing Address - Fax:206-709-9377
Practice Address - Street 1:2026 10TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4106
Practice Address - Country:US
Practice Address - Phone:206-769-6079
Practice Address - Fax:206-709-9377
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000360171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist