Deiss, Konrad
Deiss, Konrad is an individual health care provider with primary practice located at 229 S Davis Rd Ste 900 , Lagrange GA 30241-2609. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Deiss, Konrad can be contacted via phone (470) 686-2225.Contact Information
Primary practice address
229 S Davis Rd Ste 900
Lagrange GA 30241-2609
Phone: (470) 686-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1219 | Georgia |
Profile Details
| NPI number | 1437646064 |
|---|---|
| LBN Legal business name | Deiss, Konrad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Apr 19th, 2018 - about 6 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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