Mcconnell, Jack L

Mcconnell, Jack L is an individual health care provider with primary practice located at 327 1St Ave Nw , Hickory NC 28601-6122. 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. Mcconnell, Jack L can be contacted via phone (828) 695-5900.

Contact Information

Primary practice address
327 1St Ave Nw Hickory NC 28601-6122
Phone: (828) 695-5900
Fax: (828) 695-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1185 North Carolina

Profile Details

NPI number 1780888024
LBN Legal business name Mcconnell, Jack L
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Aug 31st, 2015 - 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 1780888024 NPPES
North Carolina MEDICAID 1780888024

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