Vuncannon, Brad
Vuncannon, Brad is an sole proprietor health care provider with primary practice located at 104 Newhope Drive , Corinth MS 38834. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Vuncannon, Brad can be contacted via phone (662) 287-7199.Contact Information
Primary practice address
104 Newhope Drive
Corinth MS 38834
Phone: (662) 287-7199
Fax: (662) 286-8095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1205013158 |
|---|---|
| LBN Legal business name | Vuncannon, Brad |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Jan 23rd, 2008 - about 18 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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