George, Christopher Derek

George, Christopher Derek is an sole proprietor health care provider with primary practice located at 196 Observation Pointe Dr , Somerset KY 42503-3784. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. George, Christopher Derek can be contacted via phone (606) 875-2137.

Contact Information

Primary practice address
196 Observation Pointe Dr Somerset KY 42503-3784
Phone: (606) 875-2137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0013 Kentucky

Profile Details

NPI number 1023418704
LBN Legal business name George, Christopher Derek
Credentials LBCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2014
Last updated Jan 27th, 2016 - about 9 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 1023418704 NPPES
Kentucky MEDICAID 7100323050

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