Mcdaniel, Justin

Mcdaniel, Justin is an individual health care provider with primary practice located at 181 W Professional Park Ct Ste 1 , Bowling Green KY 42104-3250. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Mcdaniel, Justin can be contacted via phone (270) 843-5300.

Contact Information

Primary practice address
181 W Professional Park Ct Ste 1 Bowling Green KY 42104-3250
Phone: (270) 843-5300
Fax: (270) 843-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X ABALBA00218345 Kentucky

Profile Details

NPI number 1730594631
LBN Legal business name Mcdaniel, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Jan 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730594631 NPPES
Massachusetts MEDICAID 110026265E

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