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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1568463149 | NPPES |
North Carolina | MEDICAID | 6107218 |
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