Idol, Harry E

Idol, Harry E is an individual health care provider with primary practice located at 1320 Woodman Dr Ste 200, Dayton OH 45432. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Idol, Harry E can be contacted via phone (937) 223-1781.

Contact Information

Primary practice address
1320 Woodman Dr Ste 200 Dayton OH 45432
Phone: (937) 223-1781
Fax: (937) 853-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C0002683 Ohio

Profile Details

NPI number 1639151939
LBN Legal business name Idol, Harry E
Credentials BA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 8th, 2007 - about 18 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 1639151939 NPPES
Ohio MEDICAID 2272231

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