Haire, Jarutha Ann

Haire, Jarutha Ann is an individual health care provider with primary practice located at 107 Cranes Roost Ct , Elizabethtown KY 42701-3650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haire, Jarutha Ann can be contacted via phone (270) 765-2650.

Contact Information

Primary practice address
107 Cranes Roost Ct Elizabethtown KY 42701-3650
Fax: (270) 234-8572
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1730222613
LBN Legal business name Haire, Jarutha Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730222613 NPPES
Kentucky MEDICAID 30605018

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