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
Fax: (254) 628-2716
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427026640 NPPES
Texas MEDICAID 029410001

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