| Justin Hart, LRD | |
|
1251 Elbowoods Loop, New Town, ND 58763-9112 | |
| (701) 627-7962 | |
| Not Available |
| Full Name | Justin Hart |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1251 Elbowoods Loop, New Town, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568182764 | NPI | - | NPPES |
| 1376 | Other | ND | NORTH DAKOTA BOARD OF DIETETIC PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1376 (North Dakota) | Primary |
| Provider Name | Elbowoods Memorial Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831365519 PECOS PAC ID: 1052477494 Enrollment ID: O20090310000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Hart, LRD 1251 Elbowoods Loop, New Town, ND 58763-9112 Ph: (701) 627-7962 | Justin Hart, LRD 1251 Elbowoods Loop, New Town, ND 58763-9112 Ph: (701) 627-7962 |
Mrs. Celeste Hart, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1251 Elbowoods Loop, New Town, ND 58763 Phone: 701-627-7931 Fax: 701-627-3913 | |
Shelby Stein, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1058 College Dr, New Town, ND 58763 Phone: 701-627-7929 | |
Mr. Arne Leroy Sorenson, RD, LN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Minni Tohe Dr, New Town, ND 58763 Phone: 701-627-4701 Fax: 701-627-3913 |