Ike, Innocent

Ike, Innocent is an sole proprietor health care provider with primary practice located at 2001 Martin Luther King Jr Dr Sw Suite, Atlanta GA 30310-1101. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ike, Innocent can be contacted via phone (404) 564-6486.

Contact Information

Primary practice address
2001 Martin Luther King Jr Dr Sw Suite Atlanta GA 30310-1101
Phone: (404) 564-6486
Fax: (404) 564-6487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1164829677
LBN Legal business name Ike, Innocent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2014
Last updated Nov 26th, 2014 - about 12 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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