Eustis, James

Eustis, James is an sole proprietor health care provider with primary practice located at 602 Lattice Bnd , Bonaire GA 31005-4847. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Eustis, James can be contacted via phone (478) 287-2711.

Contact Information

Primary practice address
602 Lattice Bnd Bonaire GA 31005-4847
Phone: (478) 287-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005985 Georgia
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1346787991
LBN Legal business name Eustis, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2017
Last updated Jan 20th, 2017 - about 8 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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