Bynum, Peggy Elizabeth

Bynum, Peggy Elizabeth is an individual health care provider with primary practice located at 526 Maple Ave , Reidsville NC 27320-4650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bynum, Peggy Elizabeth can be contacted via phone (336) 349-4454.

Contact Information

Primary practice address
526 Maple Ave Reidsville NC 27320-4650
Phone: (336) 349-4454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003804 North Carolina

Profile Details

NPI number 1942231188
LBN Legal business name Bynum, Peggy Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 9th, 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 1942231188 NPPES
North Carolina Other D5192 MEDCOST
North Carolina Other 1369P MEDCOST
North Carolina MEDICAID 6003217 MEDCOST

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