Perryman, Jack

Perryman, Jack is an individual health care provider with primary practice located at 2063 S Main St , Blakely GA 39823-2267. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Perryman, Jack can be contacted via phone (229) 430-4002.

Contact Information

Primary practice address
2063 S Main St Blakely GA 39823-2267
Phone: (229) 430-4002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC002515

Profile Details

NPI number 1992992184
LBN Legal business name Perryman, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 19 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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