Provider Demographics
NPI:1770979932
Name:HART, EMILY K
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:CHESTERHILL
Mailing Address - State:OH
Mailing Address - Zip Code:43728
Mailing Address - Country:US
Mailing Address - Phone:740-554-5789
Mailing Address - Fax:740-554-5789
Practice Address - Street 1:7440 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:CHESTERHILL
Practice Address - State:OH
Practice Address - Zip Code:43728
Practice Address - Country:US
Practice Address - Phone:740-554-5789
Practice Address - Fax:740-554-5789
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2691967374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide