Shook, Richard E

Shook, Richard E is an individual health care provider with primary practice located at 800 Kennesaw Ave Nw Ste 320 , Marietta GA 30060-7945. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shook, Richard E can be contacted via phone (770) 514-0111.

Contact Information

Primary practice address
800 Kennesaw Ave Nw Ste 320 Marietta GA 30060-7945
Phone: (770) 514-0111
Fax: (404) 592-4648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1908 Georgia

Profile Details

NPI number 1831252220
LBN Legal business name Shook, Richard E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 28th, 2022 - about 4 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 1831252220 NPPES
Georgia MEDICAID 00577607A

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