Hughes, Derrance Wayne

Hughes, Derrance Wayne is an sole proprietor health care provider with primary practice located at 209 Evans St , Greenville NC 27858-1121. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hughes, Derrance Wayne can be contacted via phone (252) 799-6339.

Contact Information

Primary practice address
209 Evans St Greenville NC 27858-1121
Phone: (252) 799-6339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4012 North Carolina

Profile Details

NPI number 1124006614
LBN Legal business name Hughes, Derrance Wayne
Credentials MAED. NCC LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1124006614 NPPES
North Carolina Other 1315M BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6102060 BLUE CROSS BLUE SHIELD

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