Abraham, Tina
Abraham, Tina is an sole proprietor health care provider with primary practice located at 908 Fourth St S , Carolina Beach NC 28428-5231. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abraham, Tina can be contacted via phone (910) 368-1529.Contact Information
Primary practice address
908 Fourth St S
Carolina Beach NC 28428-5231
Phone: (910) 368-1529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1699414300 |
|---|---|
| LBN Legal business name | Abraham, Tina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2022 |
| Last updated | Jun 16th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699414300 | NPPES |
| Florida | Other | XXXXX4211 | SOCIAL SECURITY |
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