Haun, Glenn A
Haun, Glenn A is an sole proprietor health care provider with primary practice located at 344 E Main St Ste 301 , Mount Kisco NY 10549-3036. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Haun, Glenn A can be contacted via phone (914) 666-4646.Contact Information
Primary practice address
344 E Main St Ste 301
Mount Kisco NY 10549-3036
Phone: (914) 666-4646
Fax: (914) 666-5002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 34712 | New York |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 34712 | New York |
Profile Details
| NPI number | 1134785611 |
|---|---|
| LBN Legal business name | Haun, Glenn A |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2019 |
| Last updated | Mar 2nd, 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 | 1134785611 | NPPES |
| New York | Other | 34712 | OASAS |
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