Hettinger, Justin W

Hettinger, Justin W is an sole proprietor health care provider with primary practice located at 4653 E Main St , Whitehall OH 43213-3298. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hettinger, Justin W can be contacted via phone (614) 384-7798.

Contact Information

Primary practice address
4653 E Main St Whitehall OH 43213-3298
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.2002750 Ohio

Profile Details

NPI number 1093370793
LBN Legal business name Hettinger, Justin W
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2019
Last updated Aug 28th, 2020 - about 5 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 1093370793 NPPES
Ohio MEDICAID 2314525
Ohio MEDICAID 2864002

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