Hartson, David Jerome
Hartson, David Jerome is an individual health care provider with primary practice located at 1517 32Nd Ave S , Fargo ND 58103-5905. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hartson, David Jerome can be contacted via phone (701) 364-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 167 | North Dakota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1453 | Minnesota |
Profile Details
| NPI number | 1982707543 |
|---|---|
| LBN Legal business name | Hartson, David Jerome |
| Credentials | PHD PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1982707543 | NPPES |
| North Dakota | MEDICAID | 16939 | |
| North Dakota | Other | 365250500 |
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