Hartnell, Johna C
Hartnell, Johna C is an individual health care provider with primary practice located at 10 North River Road Phs Indian Health Service, Fort Yates ND 58538-0797. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hartnell, Johna C can be contacted via phone (701) 854-3831.Contact Information
Primary practice address
10 North River Road Phs Indian Health Service
Fort Yates ND 58538-0797
Phone: (701) 854-3831
Fax: (701) 854-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1129 | New Mexico |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1116-57 | Wisconsin |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0035 | New Mexico |
Profile Details
| NPI number | 1558377796 |
|---|---|
| LBN Legal business name | Hartnell, Johna C |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 29th, 2015 - about 11 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 | 1558377796 | NPPES |
| North Dakota | MEDICAID | 81613 | |
| North Dakota | Other | 000684106 | |
| North Dakota | Other | HSZI31ZJSB | |
| North Dakota | MEDICAID | 39035300 |
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