National Provider Identifier Database

JEREMY HARTKE, M.A. – NPI #1467830356
Professional


Contact Information

JEREMY HARTKE, M.A.
3230 E WOODMEN RD STE 110
COLORADO SPRINGS, CO80920-8502
Phone: 719-623-2356
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Mental Health 101YM0800X
Pastoral 101YP1600X

* Indicates primary specialty

NPI Profile & details for JEREMY HARTKE

NPI Number 1467830356
Credentials M.A.
Entity Individual
Enumeration date 05/11/2015
Last updated 05/12/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CO License #: LPC.0014742
  • KS License #: 2969
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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