Eads, Bruce
Eads, Bruce is an individual health care provider with primary practice located at 1100 Navaho Dr Suite 123, Raleigh NC 27609-7319. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eads, Bruce can be contacted via phone (919) 412-7069.Contact Information
Primary practice address
1100 Navaho Dr Suite 123
Raleigh NC 27609-7319
Phone: (919) 412-7069
Fax: (919) 832-4708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004096 | North Carolina |
Profile Details
| NPI number | 1396709341 |
|---|---|
| LBN Legal business name | Eads, Bruce |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 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 | 1396709341 | NPPES |
| North Carolina | MEDICAID | 6003683 | |
| North Carolina | Other | 135E7 |
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