Agnew, Jakarta

Agnew, Jakarta is an individual health care provider with primary practice located at 139 E Old Trenton Rd Ste B , Clarksville TN 37043-5945. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Agnew, Jakarta can be contacted via phone (931) 444-1449.

Contact Information

Primary practice address
139 E Old Trenton Rd Ste B Clarksville TN 37043-5945
Phone: (931) 444-1449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407504095
LBN Legal business name Agnew, Jakarta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 2022 - 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.

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