Desoto, Robert Lynn

Desoto, Robert Lynn is an individual health care provider with primary practice located at 925 Conference Dr , Greenville NC 27858-5971. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Desoto, Robert Lynn can be contacted via phone (252) 756-4899.

Contact Information

Primary practice address
925 Conference Dr Greenville NC 27858-5971
Phone: (252) 756-4899
Fax: (252) 756-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000514 North Carolina

Profile Details

NPI number 1174688733
LBN Legal business name Desoto, Robert Lynn
Credentials LCSW, BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174688733 NPPES
North Carolina Other 28428 BCBS PROVIDER NUMBER
North Carolina MEDICAID 6002068 BCBS PROVIDER NUMBER

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