Hack, Jerry Wayne

Hack, Jerry Wayne is an sole proprietor health care provider with primary practice located at 898 E Main St , Greenwood IN 46143-1407. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hack, Jerry Wayne can be contacted via phone (317) 887-1348.

Contact Information

Primary practice address
898 E Main St Greenwood IN 46143-1407
Phone: (317) 887-1348
Fax: (317) 882-1631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000040A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002364A Indiana

Profile Details

NPI number 1770607863
LBN Legal business name Hack, Jerry Wayne
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jan 24th, 2008 - about 17 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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