Hartley, Debra Jeanette
Hartley, Debra Jeanette is an sole proprietor health care provider with primary practice located at 8400 W 110Th Suite 510, Overland Park KS 66210. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Hartley, Debra Jeanette can be contacted via phone (913) 491-3460.Contact Information
Primary practice address
8400 W 110Th Suite 510
Overland Park KS 66210
Phone: (913) 491-3460
Fax: (913) 491-1141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 998LSCSW | Kansas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LSCSW2005038977 | Missouri |
Profile Details
| NPI number | 1396887519 |
|---|---|
| LBN Legal business name | Hartley, Debra Jeanette |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 23rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396887519 | NPPES |
| Kansas | MEDICAID | 100289830A |
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