Deconna, Paul
Deconna, Paul is an individual health care provider with primary practice located at 1213 Culbreth Dr Suite 235, Wilmington NC 28405-3684. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Deconna, Paul can be contacted via phone (910) 509-7212.Contact Information
Primary practice address
1213 Culbreth Dr Suite 235
Wilmington NC 28405-3684
Phone: (910) 509-7212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002814 | North Carolina |
Profile Details
NPI number | 1427009307 |
---|---|
LBN Legal business name | Deconna, Paul |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427009307 | NPPES |
North Carolina | MEDICAID | 6002198 | |
North Carolina | Other | 1017F | |
North Carolina | Other | IP463863 |
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