Connell, Richard
Connell, Richard is an sole proprietor health care provider with primary practice located at 3106 S W S Young Dr Ste B-202 , Killeen TX 76542-2000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Connell, Richard can be contacted via phone (254) 628-0056.Contact Information
Primary practice address
3106 S W S Young Dr Ste B-202
Killeen TX 76542-2000
Phone: (254) 628-0056
Fax: (254) 628-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 26860 | Texas |
Profile Details
| NPI number | 1427026640 |
|---|---|
| LBN Legal business name | Connell, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 11th, 2021 - about 5 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 | 1427026640 | NPPES |
| Texas | MEDICAID | 029410001 |
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