Hartshorn, Ruby Marie

Hartshorn, Ruby Marie is an individual health care provider with primary practice located at 3745 Whipple Ave Nw , Canton OH 44718-4805. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hartshorn, Ruby Marie can be contacted via phone (303) 331-7506.

Contact Information

Primary practice address
3745 Whipple Ave Nw Canton OH 44718-4805
Fax: (234) 285-6767
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.2102269-SUPV Ohio

Profile Details

NPI number 1962763615
LBN Legal business name Hartshorn, Ruby Marie
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jul 12th, 2024 - about 2 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 1962763615 NPPES
Ohio MEDICAID 0275720

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