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

Primary practice address
1517 32Nd Ave S Fargo ND 58103-5905
Phone: (701) 364-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982707543 NPPES
North Dakota MEDICAID 16939
North Dakota Other 365250500

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