Elliott, George Henry

Elliott, George Henry is an sole proprietor health care provider with primary practice located at 132 W Elwood Ave , Raeford NC 28376-2802. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Elliott, George Henry can be contacted via phone (910) 875-0070.

Contact Information

Primary practice address
132 W Elwood Ave Raeford NC 28376-2802
Fax: (910) 875-0072
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4122 North Carolina

Profile Details

NPI number 1609886076
LBN Legal business name Elliott, George Henry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 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 1609886076 NPPES
North Carolina Other 140P9 BLUECROSS BLUESHIELD LPC
North Carolina MEDICAID 6102023 BLUECROSS BLUESHIELD LPC

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