Depree, James A

Depree, James A is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Depree, James A can be contacted via phone (910) 615-6032.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 615-6032
Fax: (910) 615-5076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1026 North Carolina

Profile Details

NPI number 1568463149
LBN Legal business name Depree, James A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 20th, 2012 - about 13 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 1568463149 NPPES
North Carolina MEDICAID 6107218

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