Hart, Nan Susan
Hart, Nan Susan is an sole proprietor health care provider with primary practice located at 1550 E Battlefield St Suite A, Springfield MO 65804-3704. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hart, Nan Susan can be contacted via phone (417) 869-9011.Contact Information
Primary practice address
1550 E Battlefield St Suite A
Springfield MO 65804-3704
Phone: (417) 869-9011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2006009175 | Missouri |
Profile Details
| NPI number | 1780701029 |
|---|---|
| LBN Legal business name | Hart, Nan Susan |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780701029 | NPPES |
| Missouri | MEDICAID | 491221107 | |
| Missouri | Other | 2006009175 |
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