Hauser, Jonathan D.

Hauser, Jonathan D. is an sole proprietor health care provider with primary practice located at 101 Devant Street Ste 705 Carnegie Behavioral Health, Fayetteville GA 30214-2717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hauser, Jonathan D. can be contacted via phone (770) 716-6012.

Contact Information

Primary practice address
101 Devant Street Ste 705 Carnegie Behavioral Health Fayetteville GA 30214-2717
Phone: (770) 716-6012
Fax: (770) 716-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002374 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X GA002374 Georgia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1730102245
LBN Legal business name Hauser, Jonathan D.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Mar 4th, 2009 - about 16 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 1730102245 NPPES
Georgia MEDICAID 000857095B

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