Lassiter, Winston Grant
Lassiter, Winston Grant is an individual health care provider with primary practice located at 1190 W Roosevelt Blvd , Monroe NC 28110-2818. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lassiter, Winston Grant can be contacted via phone (704) 296-6200.Contact Information
Primary practice address
1190 W Roosevelt Blvd
Monroe NC 28110-2818
Phone: (704) 296-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | North Carolina |
Profile Details
| NPI number | 1962601104 |
|---|---|
| LBN Legal business name | Lassiter, Winston Grant |
| Credentials | LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Nov 2nd, 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 | 1962601104 | NPPES |
| North Carolina | MEDICAID | 6111958 |
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