Connell, Richard Wade
Connell, Richard Wade is an sole proprietor health care provider with primary practice located at 822 Chickamauga Ave , Rossville GA 30741-1407. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Connell, Richard Wade can be contacted via phone (706) 861-6458.Contact Information
Primary practice address
822 Chickamauga Ave
Rossville GA 30741-1407
Phone: (706) 861-6458
Fax: (706) 866-6277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Georgia |
Profile Details
| NPI number | 1962037697 |
|---|---|
| LBN Legal business name | Connell, Richard Wade |
| Credentials | CAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2020 |
| Last updated | Mar 3rd, 2020 - about 6 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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