Mciver, James Edward
Mciver, James Edward is an sole proprietor health care provider with primary practice located at 141 Thomas Humphrey Rd , Jacksonville NC 28546-6205. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Mciver, James Edward can be contacted via phone (910) 347-5218.Contact Information
Primary practice address
141 Thomas Humphrey Rd
Jacksonville NC 28546-6205
Phone: (910) 347-5218
Fax: (910) 346-0957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-067-142 | North Carolina |
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-067-162 | North Carolina |
Profile Details
NPI number | 1124172986 |
---|---|
LBN Legal business name | Mciver, James Edward |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jul 9th, 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 | 1124172986 | NPPES |
North Carolina | MEDICAID | 6603585 | |
North Carolina | MEDICAID | 8301087B | |
North Carolina | MEDICAID | 6603978 |
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