Wynn, Asa
Wynn, Asa is an individual health care provider with primary practice located at 30 Sioux Path , Dallas GA 30132-1620. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Community Health Worker, Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Wynn, Asa can be contacted via phone (770) 676-2676.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | ||
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | Georgia | |
Other Service Providers / Peer Specialist | 175T00000X | Georgia |
Profile Details
NPI number | 1932980976 |
---|---|
LBN Legal business name | Wynn, Asa |
Credentials | CPS-MH/AD, WHWC, FPM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2023 |
Last updated | Oct 5th, 2023 - about last year |
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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