Hamilton, Haven Marlene

Hamilton, Haven Marlene is an individual health care provider with primary practice located at 971 E Wichita Ave , Russell KS 67665-2444. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hamilton, Haven Marlene can be contacted via phone (785) 657-7464.

Contact Information

Primary practice address
971 E Wichita Ave Russell KS 67665-2444
Phone: (785) 657-7464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407523384
LBN Legal business name Hamilton, Haven Marlene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2021
Last updated Aug 27th, 2021 - about 4 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 1407523384 NPPES
Kansas Other 12345 12345

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