Alcorn, Edwin Robert

Alcorn, Edwin Robert is an individual health care provider with primary practice located at 508 Fulton St , Durham NC 27705-3875. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alcorn, Edwin Robert can be contacted via phone (919) 360-5470.

Contact Information

Primary practice address
508 Fulton St Durham NC 27705-3875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P014862 North Carolina

Profile Details

NPI number 1134737877
LBN Legal business name Alcorn, Edwin Robert
Credentials LCSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated Jul 20th, 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 1134737877 NPPES
North Carolina Other P014862 NC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD

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