Shawn Keith Hartzog is a Family in Sylva, North Carolina. Shawn Keith Hartzog practices all healthcare services and medical treatments related to Family. The NPI Number for Shawn Keith Hartzog is 1629104641. The last update date is 2010-04-19.
Shawn Keith Hartzog's current location address is 154 Medical Park Loop, Sylva, North Carolina. You can contact this provider via phone number 8283191080 and fax number 8286319280. The mailing address for Shawn Keith Hartzog is 154 Medical Park Loop, Sylva, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Keith Hartzog |
|---|---|
| Address | 154 Medical Park Loop, Sylva, North Carolina |
| Phone Number | 8283191080 |
| Fax Number | 8286319280 |
| Sole Proprietor | N |
| Credentials | LPA |
NPI Number Detail
| NPI Number | 1629104641 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2010-04-19 |
Provider Mailing Address Detail
| Address | 154 Medical Park Loop |
|---|---|
| City | Sylva |
| State | North Carolina (NC) |
| Post Code | 287795271 |
| Phone Number | 8283191080 |
| Fax Number | 8286319280 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 2262 |
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Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107428 | NC | -- |
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What is the unique 10-digit identifier code issued to Shawn Keith Hartzog by the Centers for Medicare & Medicaid Services?
The Shawn Keith Hartzog has been assigned the NPI (National Provider Identifier) 1629104641 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shawn Keith Hartzog?
The Shawn Keith Hartzog is situated at 154 Medical Park Loop, in the city of Sylva, state of NC, with the zip code 287795271.
What is the Shawn Keith Hartzog's specialty and taxonomy code?
The Shawn Keith Hartzog's specialty is Family, and the corresponding taxonomy code is 103Tf0000X.
On what date did Shawn Keith Hartzog receive its 1629104641 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Keith Hartzog was assigned its 1629104641 on 2007-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shawn Keith Hartzog most recently updated or refreshed?
The details pertaining to the Shawn Keith Hartzog, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-04-19.