Hasty, Grant R
Hasty, Grant R is an sole proprietor health care provider with primary practice located at 3135 Summit Bridge Rd , Bear DE 19701-2001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hasty, Grant R can be contacted via phone (302) 464-0515.Contact Information
Primary practice address
3135 Summit Bridge Rd
Bear DE 19701-2001
Phone: (302) 464-0515
Fax: (302) 454-7274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q10000765 | Delaware |
Profile Details
| NPI number | 1053509737 |
|---|---|
| LBN Legal business name | Hasty, Grant R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Feb 23rd, 2016 - about 10 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 | 1053509737 | NPPES |
| Delaware | MEDICAID | 1000039721 | |
| Delaware | Other | 166706 YDXJ | |
| Delaware | MEDICAID | 1000035733 |
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