Basic Information
| Provider Information | |||||||||
| NPI: | 1467425066 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARTLINE | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 633 BATTLEFIELD BLVD S | ||||||||
| Address2: | STE 300 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572334700 | ||||||||
| FaxNumber: | 7572334701 | ||||||||
| Practice Location | |||||||||
| Address1: | 633 BATTLEFIELD BLVD S | ||||||||
| Address2: | STE 300 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572334700 | ||||||||
| FaxNumber: | 7572334701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2006 | ||||||||
| LastUpdateDate: | 10/24/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101238589 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.