Gates, George Nelson

Gates, George Nelson is an individual health care provider with primary practice located at 1717 Shipyard Blvd Suite 210, Wilmington NC 28403-8019. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gates, George Nelson can be contacted via phone (910) 392-7877.

Contact Information

Primary practice address
1717 Shipyard Blvd Suite 210 Wilmington NC 28403-8019
Phone: (910) 392-7877
Fax: (910) 392-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3187 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2291 North Carolina

Profile Details

NPI number 1073552600
LBN Legal business name Gates, George Nelson
Credentials D.MIN. LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073552600 NPPES
North Carolina MEDICAID 6107228

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