Quagliano, Les R

Quagliano, Les R is an individual health care provider with primary practice located at 301 E Washington St , Greensboro NC 27401-2957. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Quagliano, Les R can be contacted via phone (336) 333-6860.

Contact Information

Primary practice address
301 E Washington St Greensboro NC 27401-2957
Phone: (336) 333-6860
Fax: (338) 275-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 235 North Carolina

Profile Details

NPI number 1891811220
LBN Legal business name Quagliano, Les R
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891811220 NPPES
North Carolina MEDICAID 6111808

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