Age, Genevi J
Age, Genevi J is an individual health care provider with primary practice located at 5233 Sundance Way Unit 101 , Wilmington NC 28409-5771. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Age, Genevi J can be contacted via phone (910) 649-4964.Contact Information
Primary practice address
5233 Sundance Way Unit 101
Wilmington NC 28409-5771
Phone: (910) 649-4964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 23005 | North Carolina |
Profile Details
| NPI number | 1053822130 |
|---|---|
| LBN Legal business name | Age, Genevi J |
| Credentials | LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2017 |
| Last updated | Oct 17th, 2017 - about 7 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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