Hackleman, Robert Dean
Hackleman, Robert Dean is an sole proprietor health care provider with primary practice located at 200 S Bemiston Ave Ste 304, Clayton MO 63105-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hackleman, Robert Dean can be contacted via phone (314) 540-0078.Contact Information
Primary practice address
200 S Bemiston Ave Ste 304
Clayton MO 63105-1915
Phone: (314) 540-0078
Fax: (314) 334-0918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2003023450 | Missouri |
Profile Details
| NPI number | 1043201833 |
|---|---|
| LBN Legal business name | Hackleman, Robert Dean |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 11th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043201833 | NPPES |
| Missouri | MEDICAID | 498441401 |
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