Ollis, Deborah Pendleton
Ollis, Deborah Pendleton is an sole proprietor health care provider with primary practice located at 1306 Bowman Avenue Ext , Morganton NC 28655-9571. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ollis, Deborah Pendleton can be contacted via phone (828) 437-6019.Contact Information
Primary practice address
1306 Bowman Avenue Ext
Morganton NC 28655-9571
Phone: (828) 437-6019
Fax: (828) 437-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2824 | North Carolina |
Profile Details
| NPI number | 1972656304 |
|---|---|
| LBN Legal business name | Ollis, Deborah Pendleton |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 17th, 2008 - about 16 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 | 1972656304 | NPPES |
| North Carolina | MEDICAID | 6102075 |
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