Correll, Joseph A

Correll, Joseph A is an individual health care provider with primary practice located at 278 Kenny Davis Blvd , Monticello KY 42633-9479. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Correll, Joseph A can be contacted via phone (844) 435-0900.

Contact Information

Primary practice address
278 Kenny Davis Blvd Monticello KY 42633-9479
Phone: (844) 435-0900
Fax: (270) 858-4029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X KY-0284 Kentucky

Profile Details

NPI number 1366561276
LBN Legal business name Correll, Joseph A
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Feb 15th, 2024 - about 9 months 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 1366561276 NPPES
Other 15497343 CAQH
MEDICAID 7100556780 CAQH

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