Hart, Shirley

Hart, Shirley is an individual health care provider with primary practice located at 708 N Jackson St , Raeford NC 28376-2218. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hart, Shirley can be contacted via phone (910) 273-6137.

Contact Information

Primary practice address
708 N Jackson St Raeford NC 28376-2218
Phone: (910) 273-6137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X North Carolina

Profile Details

NPI number 1265058341
LBN Legal business name Hart, Shirley
Credentials DIRECTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265058341 NPPES
North Carolina MEDICAID 57-1203135

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