Hartnell, Johna C

Hartnell, Johna C is an individual health care provider with primary practice located at 10 North River Road Phs Indian Health Service, Fort Yates ND 58538-0797. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hartnell, Johna C can be contacted via phone (701) 854-3831.

Contact Information

Primary practice address
10 North River Road Phs Indian Health Service Fort Yates ND 58538-0797
Phone: (701) 854-3831
Fax: (701) 854-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1129 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1116-57 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0035 New Mexico

Profile Details

NPI number 1558377796
LBN Legal business name Hartnell, Johna C
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 29th, 2015 - about 9 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 1558377796 NPPES
North Dakota MEDICAID 81613
North Dakota Other 000684106
North Dakota Other HSZI31ZJSB
North Dakota MEDICAID 39035300

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