Hartshorne, Jonathan
Hartshorne, Jonathan is an individual health care provider with primary practice located at 3200 Carlisle Blvd Ne Suite 129, Albuquerque NM 87110-1600. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hartshorne, Jonathan can be contacted via phone (505) 889-4921.Contact Information
Primary practice address
3200 Carlisle Blvd Ne Suite 129
Albuquerque NM 87110-1600
Phone: (505) 889-4921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5699 | New Mexico |
Profile Details
| NPI number | 1053379321 |
|---|---|
| LBN Legal business name | Hartshorne, Jonathan |
| Credentials | M.DIV. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| 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 | 1053379321 | NPPES |
| New Mexico | MEDICAID | 01075772 |
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