Allen, Dorothy Tebbutt

Allen, Dorothy Tebbutt is an individual health care provider with primary practice located at 1725 South Main Street Suite 202, Wake Forest NC 27587. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Allen, Dorothy Tebbutt can be contacted via phone (919) 556-6501.

Contact Information

Primary practice address
1725 South Main Street Suite 202 Wake Forest NC 27587
Phone: (919) 556-6501
Fax: (919) 556-4933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2045 North Carolina

Profile Details

NPI number 1790896959
LBN Legal business name Allen, Dorothy Tebbutt
Credentials MA LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1790896959 NPPES
North Carolina Other 046MH NC HEALTH CHOICE
North Carolina Other 8375 NC HEALTH CHOICE
North Carolina MEDICAID 6107138 NC HEALTH CHOICE

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