Dick, Retina A

Dick, Retina A is an sole proprietor health care provider with primary practice located at 1830 Destiny Ln Ste 106 , Bowling Green KY 42104-1088. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dick, Retina A can be contacted via phone (270) 904-5195.

Contact Information

Primary practice address
1830 Destiny Ln Ste 106 Bowling Green KY 42104-1088
Phone: (270) 904-5195
Fax: (270) 904-3648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 105644 Kentucky

Profile Details

NPI number 1568591790
LBN Legal business name Dick, Retina A
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Dec 1st, 2016 - about 10 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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