Rutherford-Ngoto, Cheryl Ann
Rutherford-Ngoto, Cheryl Ann is an sole proprietor health care provider with primary practice located at 6702 Treehills Pkwy , Stone Mountain GA 30088-4605. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Rutherford-Ngoto, Cheryl Ann can be contacted via phone (404) 914-1777.Contact Information
Primary practice address
6702 Treehills Pkwy
Stone Mountain GA 30088-4605
Phone: (404) 914-1777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 107031 | Georgia |
| Other Service Providers / Specialist | 174400000X | 107031 | Georgia |
Profile Details
| NPI number | 1033422605 |
|---|---|
| LBN Legal business name | Rutherford-Ngoto, Cheryl Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2010 |
| Last updated | Dec 17th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033422605 | NPPES |
| Georgia | Other | 107031 | GEORGIA PROFESSIONAL CERTIFICATION |
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