Hart, Dawn R
Hart, Dawn R is an sole proprietor health care provider with primary practice located at 106 Targhetta Rd , Corrales NM 87048-6937. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hart, Dawn R can be contacted via phone (505) 450-4482.Contact Information
Primary practice address
106 Targhetta Rd
Corrales NM 87048-6937
Phone: (505) 450-4482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2155A | New Mexico |
Profile Details
| NPI number | 1023157997 |
|---|---|
| LBN Legal business name | Hart, Dawn R |
| Credentials | MS. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 6th, 2012 - about 13 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 | 1023157997 | NPPES |
| New Mexico | MEDICAID | T 6448 |
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