Prothro, Will Mckinnley

Prothro, Will Mckinnley is an sole proprietor health care provider with primary practice located at 1215 2Nd Ave , Columbus GA 31901-5244. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is his primary health care specialty. Prothro, Will Mckinnley can be contacted via phone (706) 324-4061.

Contact Information

Primary practice address
1215 2Nd Ave Columbus GA 31901-5244
Phone: (706) 324-4061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Health 103TH0004X 58-2108870 Georgia

Profile Details

NPI number 1720643448
LBN Legal business name Prothro, Will Mckinnley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2019
Last updated May 16th, 2019 - about 6 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 1720643448 NPPES
Georgia MEDICAID 58-2108870

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