Hart, Jodie Lynn

Hart, Jodie Lynn is an individual health care provider with primary practice located at 10 Caldwell Rd , Augusta ME 04330-5735. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hart, Jodie Lynn can be contacted via phone (207) 626-3448.

Contact Information

Primary practice address
10 Caldwell Rd Augusta ME 04330-5735
Phone: (207) 626-3448
Fax: (207) 626-3448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC3990 Maine

Profile Details

NPI number 1285809921
LBN Legal business name Hart, Jodie Lynn
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Feb 6th, 2014 - about 11 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 1285809921 NPPES
Maine MEDICAID 432887699

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