Fennell, Joseph J
Fennell, Joseph J is an sole proprietor health care provider with primary practice located at 19 Church St , Statesboro GA 30458-5385. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fennell, Joseph J can be contacted via phone (912) 489-7590.Contact Information
Primary practice address
19 Church St
Statesboro GA 30458-5385
Phone: (912) 489-7590
Fax: (912) 489-3877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC001843 | Georgia |
Profile Details
| NPI number | 1225368152 |
|---|---|
| LBN Legal business name | Fennell, Joseph J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2009 |
| Last updated | Jun 19th, 2013 - about 12 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 | 1225368152 | NPPES |
| Georgia | Other | 690639 | WELLCARE |
| Georgia | Other | 01422484 | WELLCARE |
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