Lane, Theodore W.
Lane, Theodore W. is an individual health care provider with primary practice located at 1540 Purdue Dr Ste 200 , Fayetteville NC 28303-5510. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lane, Theodore W. can be contacted via phone (910) 867-8889.Contact Information
Primary practice address
1540 Purdue Dr Ste 200
Fayetteville NC 28303-5510
Phone: (910) 867-8889
Fax: (910) 487-3061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1264 | North Carolina |
Profile Details
| NPI number | 1023156932 |
|---|---|
| LBN Legal business name | Lane, Theodore W. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| 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.
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