Wells, Chauneecy

Wells, Chauneecy is an sole proprietor health care provider with primary practice located at 9703 Ivey Ridge Cir , Jonesboro GA 30238-4158. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Wells, Chauneecy can be contacted via phone (216) 334-9739.

Contact Information

Primary practice address
9703 Ivey Ridge Cir Jonesboro GA 30238-4158
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1124493416
LBN Legal business name Wells, Chauneecy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2015
Last updated May 21st, 2021 - about 5 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 1124493416 NPPES
Ohio MEDICAID 127669

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