Longmire, Christine
Longmire, Christine is an sole proprietor health care provider with primary practice located at 6238 Penfield Dr , Fayetteville NC 28314-2061. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Longmire, Christine can be contacted via phone (910) 728-3420.Contact Information
Primary practice address
6238 Penfield Dr
Fayetteville NC 28314-2061
Phone: (910) 728-3420
Fax: (910) 867-7622
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS 926 | North Carolina |
Profile Details
NPI number | 1811033145 |
---|---|
LBN Legal business name | Longmire, Christine |
Credentials | LCAS, PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2007 |
Last updated | Sep 29th, 2014 - about 10 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 | 1811033145 | NPPES |
North Carolina | MEDICAID | 6111752 |
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