John, Kirk

John, Kirk is an sole proprietor health care provider with primary practice located at 99 S Pennsylvania Ave , Uniontown PA 15401-4236. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. John, Kirk can be contacted via phone (724) 430-0555.

Contact Information

Primary practice address
99 S Pennsylvania Ave Uniontown PA 15401-4236
Phone: (724) 430-0555
Fax: (724) 430-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS003300L Pennsylvania

Profile Details

NPI number 1568785947
LBN Legal business name John, Kirk
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2010
Last updated Mar 12th, 2010 - about 16 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 1568785947 NPPES
Pennsylvania MEDICAID 0017125050001

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