Bovell, Wendy Kilpatrick
Bovell, Wendy Kilpatrick is an sole proprietor health care provider with primary practice located at 101 Jordan Dr , Chattanooga TN 37421-6732. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bovell, Wendy Kilpatrick can be contacted via phone (423) 510-1999.Contact Information
Primary practice address
101 Jordan Dr
Chattanooga TN 37421-6732
Phone: (423) 510-1999
Fax: (423) 510-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4277 | Tennessee |
Profile Details
| NPI number | 1720079379 |
|---|---|
| LBN Legal business name | Bovell, Wendy Kilpatrick |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720079379 | NPPES |
| Other | 022634 | VMC | |
| MEDICAID | 3925616 | VMC | |
| Other | 213933 | VMC | |
| Other | 4045771 | VMC |
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