Priddy, David A.

Priddy, David A. is an individual health care provider with primary practice located at 575 N Kellogg St Ste 4 , Galesburg IL 61401-7609. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Priddy, David A. can be contacted via phone (309) 343-0800.

Contact Information

Primary practice address
575 N Kellogg St Ste 4 Galesburg IL 61401-7609
Phone: (309) 343-0800
Fax: (309) 343-0802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 071-003839 Illinois

Profile Details

NPI number 1669416749
LBN Legal business name Priddy, David A.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 18th, 2020 - about 5 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 1669416749 NPPES
Illinois Other 013154 HEALTH ALLIANCE ID

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