George, Lawrence Daniel

George, Lawrence Daniel is an sole proprietor health care provider with primary practice located at 250 W Woodmere Dr , Tiffin OH 44883-8937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. George, Lawrence Daniel can be contacted via phone (419) 447-3557.

Contact Information

Primary practice address
250 W Woodmere Dr Tiffin OH 44883-8937
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0001966-SUPV Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0001996-SUPV Ohio

Profile Details

NPI number 1083663470
LBN Legal business name George, Lawrence Daniel
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 28th, 2017 - about 7 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 1083663470 NPPES
Ohio Other 000000304312 ANTHEM BLUE CROSS BLUE SH

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