Harter, Tristan

Harter, Tristan is an sole proprietor health care provider with primary practice located at 197 Winston Dr , Bolingbrook IL 60440-1300. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Harter, Tristan can be contacted via phone (630) 739-0185.

Contact Information

Primary practice address
197 Winston Dr Bolingbrook IL 60440-1300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1588181408
LBN Legal business name Harter, Tristan
Credentials NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2017
Last updated Aug 23rd, 2017 - about 7 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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