George, John W.

George, John W. is an individual health care provider with primary practice located at 1015 Michigan Ave , Logansport IN 46947-1526. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. George, John W. can be contacted via phone (574) 722-5151.

Contact Information

Primary practice address
1015 Michigan Ave Logansport IN 46947-1526
Phone: (574) 722-5151
Fax: (574) 739-1414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33000266A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000286A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000629A Indiana

Profile Details

NPI number 1528099892
LBN Legal business name George, John W.
Credentials LCSW, SWL,
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 17th, 2017 - about 8 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 1528099892 NPPES
Indiana Other 000000184322 ANTHEM
Indiana Other 138835000 ANTHEM

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