Crockett, Rhonda A
Crockett, Rhonda A is an sole proprietor health care provider with primary practice located at 401 Westpark Ct Ste 200 , Peachtree City GA 30269-3572. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Crockett, Rhonda A can be contacted via phone (800) 341-0120.Contact Information
Primary practice address
401 Westpark Ct Ste 200
Peachtree City GA 30269-3572
Phone: (800) 341-0120
Fax: (866) 341-3403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1487213930 |
|---|---|
| LBN Legal business name | Crockett, Rhonda A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2019 |
| Last updated | Mar 12th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487213930 | NPPES |
| Georgia | Other | 000111222333 | CERTIFIED PEER SPECIALIST |
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