Ganick, Evan

Ganick, Evan is an sole proprietor health care provider with primary practice located at 89 Ouchonder Rd , Elmwood TN 38560-4232. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is his primary health care specialty. Ganick, Evan can be contacted via phone (615) 579-6241.

Contact Information

Primary practice address
89 Ouchonder Rd Elmwood TN 38560-4232
Phone: (615) 579-6241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115656 New York
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 115656 New York

Profile Details

NPI number 1003562869
LBN Legal business name Ganick, Evan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - about 3 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 1003562869 NPPES
New York Other P-IND4MBYJ6QCTX-00 NASW LIABILITY INSURANCE

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