Mckinney, Jack Basden
Mckinney, Jack Basden is an sole proprietor health care provider with primary practice located at 3412 Hillsborough St , Raleigh NC 27607-5407. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Mckinney, Jack Basden can be contacted via phone (919) 803-1369.Contact Information
Primary practice address
3412 Hillsborough St
Raleigh NC 27607-5407
Phone: (919) 803-1369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 92 | North Carolina |
Profile Details
| NPI number | 1083048516 |
|---|---|
| LBN Legal business name | Mckinney, Jack Basden |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2013 |
| Last updated | Sep 3rd, 2013 - about 11 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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