Dean, Cedric
Dean, Cedric is an sole proprietor health care provider with primary practice located at 2001 Catherine Simmons Ave , Charlotte NC 28216-4677. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Agencies / Public Health or Welfare, Managed Care Organizations / Preferred Provider Organization, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Dean, Cedric can be contacted via phone (704) 492-1533.Contact Information
Primary practice address
2001 Catherine Simmons Ave
Charlotte NC 28216-4677
Phone: (704) 492-1533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 2021877201 | North Carolina |
| Agencies / Public Health or Welfare | 251K00000X | 2021877201 | North Carolina |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 2021877201 | North Carolina |
| Other Service Providers / Prevention Professional | 405300000X | 2021877201 | North Carolina |
Profile Details
| NPI number | 1114647013 |
|---|---|
| LBN Legal business name | Dean, Cedric |
| Credentials | CPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2022 |
| Last updated | Jun 24th, 2024 - about 6 months 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 | 1114647013 | NPPES |
| North Carolina | Other | 1497473086 | PRIVATE INSURANCE |
| North Carolina | MEDICAID | 832424267 | PRIVATE INSURANCE |
| North Carolina | Other | 000005049292 | PRIVATE INSURANCE |
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