Daniel, Connie Joy

Daniel, Connie Joy is an individual health care provider with primary practice located at 6110 Shallowford Rd C O Crc For Paradigm, Chattanooga TN 37421-1894. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Daniel, Connie Joy can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
6110 Shallowford Rd C O Crc For Paradigm Chattanooga TN 37421-1894
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000002092 Tennessee

Profile Details

NPI number 1750488201
LBN Legal business name Daniel, Connie Joy
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Feb 13th, 2008 - about 17 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 1750488201 NPPES
Tennessee Other 4090359 BCBS
Tennessee Other P00242852 BCBS
Tennessee MEDICAID 3981313 BCBS

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