Hines, Larry Lonel

Hines, Larry Lonel is an sole proprietor health care provider with primary practice located at 2245 Stantonsburg Rd , Greenville NC 27834-2868. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hines, Larry Lonel can be contacted via phone (252) 258-5920.

Contact Information

Primary practice address
2245 Stantonsburg Rd Greenville NC 27834-2868
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1468 North Carolina

Profile Details

NPI number 1003972050
LBN Legal business name Hines, Larry Lonel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Dec 11th, 2013 - about 12 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 1003972050 NPPES
North Carolina Other 1468 NC LICENSE NUMBER
North Carolina MEDICAID 6000392 NC LICENSE NUMBER
North Carolina Other 03196 NC LICENSE NUMBER

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