Hurley, John
Hurley, John is an sole proprietor health care provider with primary practice located at 1408 Campbell Dr , Ironton OH 45638-2301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hurley, John can be contacted via phone (740) 534-9202.Contact Information
Primary practice address
1408 Campbell Dr
Ironton OH 45638-2301
Phone: (740) 534-9202
Fax: (740) 532-4777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0001632-SUPV | Ohio |
Profile Details
| NPI number | 1063803310 |
|---|---|
| LBN Legal business name | Hurley, John |
| Credentials | LISW-SUPV |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2015 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1063803310 | NPPES |
| Kentucky | MEDICAID | 7100417620 | |
| Kentucky | MEDICAID | 0188218 | |
| Kentucky | MEDICAID | 1063803310 | |
| Kentucky | Other | I-1000632-SUPV |
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