Schwaderer, Natesha

Schwaderer, Natesha is an sole proprietor health care provider with primary practice located at 107 Circle Drive , Crownsville MD 21032-2061. 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. Schwaderer, Natesha can be contacted via phone (443) 598-6900.

Contact Information

Primary practice address
107 Circle Drive Crownsville MD 21032-2061
Fax: (410) 923-6781
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA2295 Maryland

Profile Details

NPI number 1689128159
LBN Legal business name Schwaderer, Natesha
Credentials LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2016
Last updated Sep 28th, 2022 - about 3 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 1689128159 NPPES
Maryland MEDICAID 1851838643

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