Smith, Justa
Smith, Justa is an sole proprietor health care provider with primary practice located at 126 E Perry St , Port Clinton OH 43452. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Justa can be contacted via phone (419) 865-5690.Contact Information
Primary practice address
126 E Perry St
Port Clinton OH 43452
Phone: (419) 865-5690
Fax: (419) 865-5691
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1600702 | Ohio |
Profile Details
NPI number | 1710396155 |
---|---|
LBN Legal business name | Smith, Justa |
Credentials | DSW, LISW-S |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 11th, 2014 |
Last updated | Aug 31st, 2018 - 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.
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