Jefferies, Jeanie
Jefferies, Jeanie is an sole proprietor health care provider with primary practice located at 901 S New Hope Rd , Gastonia NC 28054-5829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jefferies, Jeanie can be contacted via phone (704) 476-4090.Contact Information
Primary practice address
901 S New Hope Rd
Gastonia NC 28054-5829
Phone: (704) 476-4090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001934 | North Carolina |
Profile Details
| NPI number | 1013083351 |
|---|---|
| LBN Legal business name | Jefferies, Jeanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013083351 | NPPES |
| North Carolina | MEDICAID | 6106223 |
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