Provider Demographics
NPI:1356803290
Name:SCHARTMAN, BEN (CIT)
Entity type:Individual
Prefix:MR
First Name:BEN
Middle Name:
Last Name:SCHARTMAN
Suffix:
Gender:M
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5759
Mailing Address - Country:US
Mailing Address - Phone:314-324-0739
Mailing Address - Fax:
Practice Address - Street 1:302 CAMPUSVIEW DR STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-7506
Practice Address - Country:US
Practice Address - Phone:573-326-4561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor