Hartwell, Alex
Hartwell, Alex is an sole proprietor health care provider with primary practice located at 5225 N Ironwood Rd Ste 118, Glendale WI 53217-4909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hartwell, Alex can be contacted via phone (414) 308-1091.Contact Information
Primary practice address
5225 N Ironwood Rd Ste 118
Glendale WI 53217-4909
Phone: (414) 308-1091
Fax: (414) 308-1092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 420-123 | Wisconsin |
Profile Details
| NPI number | 1083613517 |
|---|---|
| LBN Legal business name | Hartwell, Alex |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 18th, 2011 - about 13 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 | 1083613517 | NPPES |
| Wisconsin | MEDICAID | 39590000 |
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