Laforge, Jeffrey
Laforge, Jeffrey is an sole proprietor health care provider with primary practice located at 608 Matthews Mint Hill Rd Suite 110, Matthews NC 28105-1756. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Laforge, Jeffrey can be contacted via phone (704) 674-4898.Contact Information
Primary practice address
608 Matthews Mint Hill Rd Suite 110
Matthews NC 28105-1756
Phone: (704) 674-4898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004995 | North Carolina |
Profile Details
| NPI number | 1548341084 |
|---|---|
| LBN Legal business name | Laforge, Jeffrey |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jun 3rd, 2010 - about 14 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 | 1548341084 | NPPES |
| North Carolina | Other | 510546568 | CIGNA PROVIDER ID |
| North Carolina | Other | 7651956 | CIGNA PROVIDER ID |
| North Carolina | Other | C004995 | CIGNA PROVIDER ID |
| North Carolina | MEDICAID | 6106088 | CIGNA PROVIDER ID |
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