Eads, James R

Eads, James R is an sole proprietor health care provider with primary practice located at 4520 E Central Texas Expy Ste 111, Killeen TX 76543-5276. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Eads, James R can be contacted via phone (254) 699-7222.

Contact Information

Primary practice address
4520 E Central Texas Expy Ste 111 Killeen TX 76543-5276
Phone: (254) 699-7222
Fax: (254) 699-7309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X S04015 Texas

Profile Details

NPI number 1427000678
LBN Legal business name Eads, James R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427000678 NPPES
Texas MEDICAID 108260403
Texas Other 00S75C
Texas Other 85530000
Texas Other 100784100
Texas Other 7933
Texas Other 95612

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