Letourneau, Gregory
Letourneau, Gregory is an individual health care provider with primary practice located at 915 W 4Th St , Winston-Salem NC 27101-2517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Letourneau, Gregory can be contacted via phone (336) 750-0130.Contact Information
Primary practice address
915 W 4Th St
Winston-Salem NC 27101-2517
Phone: (336) 750-0130
Fax: (336) 750-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003633 | North Carolina |
Profile Details
| NPI number | 1063487973 |
|---|---|
| LBN Legal business name | Letourneau, Gregory |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 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 | 1063487973 | NPPES |
| North Carolina | Other | 13809 | BLUECROSSBLUESHEILD |
| North Carolina | MEDICAID | 6003585 | BLUECROSSBLUESHEILD |
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