Egerton, David
Egerton, David is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Egerton, David can be contacted via phone (806) 351-3777.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 351-3777
Fax: (806) 351-3765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 24263 | Texas |
Behavioral Health & Social Service Providers / Family | 103TF0000X | 24263 | Texas |
Profile Details
NPI number | 1013949197 |
---|---|
LBN Legal business name | Egerton, David |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Jun 24th, 2013 - about 11 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 | 1013949197 | NPPES |
Oklahoma | MEDICAID | 100841260 A | |
Oklahoma | MEDICAID | 038409104 | |
Oklahoma | MEDICAID | 038409102 | |
Oklahoma | MEDICAID | 19708017 |
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