Hartleben, Nicole Dawn
Hartleben, Nicole Dawn is an individual health care provider with primary practice located at 342 Muskingum Dr , Marietta OH 45750-1435. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hartleben, Nicole Dawn can be contacted via phone (800) 321-8293.Contact Information
Primary practice address
342 Muskingum Dr
Marietta OH 45750-1435
Phone: (800) 321-8293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.2005603 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.171419 | Ohio |
Profile Details
| NPI number | 1952959835 |
|---|---|
| LBN Legal business name | Hartleben, Nicole Dawn |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2019 |
| Last updated | May 25th, 2021 - about 3 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 | 1952959835 | NPPES |
| Ohio | MEDICAID | 81-1385014 |
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