Abelkop, Adrian Shayne
Abelkop, Adrian Shayne is an individual health care provider with primary practice located at 1551 Jennings Mill Rd Unit 2200A , Watkinsville GA 30677-7270. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Abelkop, Adrian Shayne can be contacted via phone (706) 431-3711.Contact Information
Primary practice address
1551 Jennings Mill Rd Unit 2200A
Watkinsville GA 30677-7270
Phone: (706) 431-3711
Fax: (888) 425-0590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | PSY #2799 | Georgia |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2799 | Georgia |
Profile Details
NPI number | 1548254196 |
---|---|
LBN Legal business name | Abelkop, Adrian Shayne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2005 |
Last updated | Jan 14th, 2021 - about 3 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 | 1548254196 | NPPES |
Georgia | MEDICAID | 133309172A |
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