Hartwig, Marcia J

Hartwig, Marcia J is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hartwig, Marcia J can be contacted via phone (601) 268-5620.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5620
Fax: (601) 268-5720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 41-670 Mississippi

Profile Details

NPI number 1124030788
LBN Legal business name Hartwig, Marcia J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124030788 NPPES
Mississippi Other 640507572RU AMERICAN ADMIN GROUP
Mississippi MEDICAID 00126033 AMERICAN ADMIN GROUP
Mississippi Other 680015806 AMERICAN ADMIN GROUP

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