Priddy, Elton Michael
Priddy, Elton Michael is an sole proprietor health care provider with primary practice located at 12400 W 62Nd Ter Suite G, Shawnee KS 66216-1833. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Priddy, Elton Michael can be contacted via phone (913) 449-3696.Contact Information
Primary practice address
12400 W 62Nd Ter Suite G
Shawnee KS 66216-1833
Phone: (913) 449-3696
Fax: (913) 548-4816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 229 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2002008095 | Missouri |
Profile Details
| NPI number | 1366587016 |
|---|---|
| LBN Legal business name | Priddy, Elton Michael |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Apr 28th, 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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