Haynes, Susan Blackwelder
Haynes, Susan Blackwelder is an sole proprietor health care provider with primary practice located at 636 Signal Hill Drive Ext , Statesville NC 28625-4774. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Haynes, Susan Blackwelder can be contacted via phone (704) 871-2992.Contact Information
Primary practice address
636 Signal Hill Drive Ext
Statesville NC 28625-4774
Phone: (704) 871-2992
Fax: (704) 871-2994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1598003394 |
|---|---|
| LBN Legal business name | Haynes, Susan Blackwelder |
| Credentials | LCASA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2013 |
| Last updated | Jan 29th, 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.
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