Hearon, Kimberly Evette
Hearon, Kimberly Evette is an sole proprietor health care provider with primary practice located at 5971 Winchester Pl , Portage IN 46368-4915. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hearon, Kimberly Evette can be contacted via phone (219) 201-0716.Contact Information
Primary practice address
5971 Winchester Pl
Portage IN 46368-4915
Phone: (219) 201-0716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000043A | Indiana |
Profile Details
| NPI number | 1003537515 |
|---|---|
| LBN Legal business name | Hearon, Kimberly Evette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2022 |
| Last updated | Sep 5th, 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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