Dejournette, Douglas

Dejournette, Douglas is an individual health care provider with primary practice located at 1405 S Scales St , Reidsville NC 27320-5634. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Dejournette, Douglas can be contacted via phone (336) 280-9432.

Contact Information

Primary practice address
1405 S Scales St Reidsville NC 27320-5634
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 10158 North Carolina

Profile Details

NPI number 1811697022
LBN Legal business name Dejournette, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about last year

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 1811697022 NPPES
North Carolina Other 92-0318443 IRS

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