Pickett, Paul

Pickett, Paul is an individual health care provider with primary practice located at 4708 Twisted Oaks Rd Apt 104 , Charlotte NC 28212-7317. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Pickett, Paul can be contacted via phone (704) 456-8120.

Contact Information

Primary practice address
4708 Twisted Oaks Rd Apt 104 Charlotte NC 28212-7317
Phone: (704) 456-8120
Fax: (704) 509-9208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X North Carolina
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1619442076
LBN Legal business name Pickett, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2018
Last updated Feb 19th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619442076 NPPES
North Carolina MEDICAID 1619442076

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