Motherwell, Christine Ann
Motherwell, Christine Ann is an individual health care provider with primary practice located at 2100 Goshen Rd 260, Fort Wayne IN 46808-1493. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Motherwell, Christine Ann can be contacted via phone (260) 471-3500.Contact Information
Primary practice address
2100 Goshen Rd 260
Fort Wayne IN 46808-1493
Phone: (260) 471-3500
Fax: (260) 471-4263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004390A | Indiana |
Profile Details
| NPI number | 1730188798 |
|---|---|
| LBN Legal business name | Motherwell, Christine Ann |
| Credentials | MSW, LMHC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Dec 6th, 2019 - about 6 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 | 1730188798 | NPPES |
| Indiana | MEDICAID | 100156770A | |
| Indiana | MEDICAID | 200283190A |
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