Jenkins, Shereta
Jenkins, Shereta is an sole proprietor health care provider with primary practice located at 213 E 3Rd St , Lumberton NC 28358-5627. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jenkins, Shereta can be contacted via phone (910) 739-5518.Contact Information
Primary practice address
213 E 3Rd St
Lumberton NC 28358-5627
Phone: (910) 739-5518
Fax: (910) 739-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005377 | North Carolina |
Profile Details
| NPI number | 1700944048 |
|---|---|
| LBN Legal business name | Jenkins, Shereta |
| Credentials | MSW,LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Feb 25th, 2009 - about 16 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 | 1700944048 | NPPES |
| North Carolina | MEDICAID | 6106443 |
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