Ewert, Marlene R
Ewert, Marlene R is an sole proprietor health care provider with primary practice located at 414 N Main St Ste 220 , Newton KS 67114-2226. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ewert, Marlene R can be contacted via phone (316) 805-7240.Contact Information
Primary practice address
414 N Main St Ste 220
Newton KS 67114-2226
Phone: (316) 805-7240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 355 | Kansas |
Profile Details
| NPI number | 1588646087 |
|---|---|
| LBN Legal business name | Ewert, Marlene R |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 9th, 2014 - about 12 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 | 1588646087 | NPPES |
| Kansas | MEDICAID | 200436500A |
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