Bogan, Elaina A
Bogan, Elaina A is an individual health care provider with primary practice located at 2901 N Herritage St , Kinston NC 28501-1581. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bogan, Elaina A can be contacted via phone (252) 233-2383.Contact Information
Primary practice address
2901 N Herritage St
Kinston NC 28501-1581
Phone: (252) 233-2383
Fax: (252) 523-3148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C007503 | North Carolina |
Profile Details
| NPI number | 1942394077 |
|---|---|
| LBN Legal business name | Bogan, Elaina A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 20th, 2015 - about 10 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 | 1942394077 | NPPES |
| Virginia | MEDICAID | 004945018 |
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