Dennis, Ollie Charles

Dennis, Ollie Charles is an sole proprietor health care provider with primary practice located at 1010 Glenview Dr Suite-C, Glasgow KY 42141-3424. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dennis, Ollie Charles can be contacted via phone (270) 651-2816.

Contact Information

Primary practice address
1010 Glenview Dr Suite-C Glasgow KY 42141-3424
Phone: (270) 651-2816
Fax: (270) 651-2816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X KY-100 Kentucky
Behavioral Health & Social Service Providers / School 103TS0200X Kentucky

Profile Details

NPI number 1538214853
LBN Legal business name Dennis, Ollie Charles
Credentials M. A., ED. D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 26th, 2007 - about 18 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 1538214853 NPPES
Kentucky MEDICAID 89001002

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