Daniel, Jerry B.

Daniel, Jerry B. is an sole proprietor health care provider with primary practice located at 1395 David Mullis Rd , Rentz GA 31075-3219. He 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 his primary health care specialty. Daniel, Jerry B. can be contacted via phone (478) 998-2824.

Contact Information

Primary practice address
1395 David Mullis Rd Rentz GA 31075-3219
Phone: (478) 998-2824
Fax: (478) 984-1609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 328554 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003690 Georgia
Behavioral Health & Social Service Providers / School 1041S0200X 328554 Georgia

Profile Details

NPI number 1861769861
LBN Legal business name Daniel, Jerry B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2011
Last updated Nov 19th, 2011 - about 14 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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