Reisfeld, Edwin H.

Reisfeld, Edwin H. is an sole proprietor health care provider with primary practice located at 15720 John J Delaney Dr Suite 300, Charlotte NC 28277-3430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reisfeld, Edwin H. can be contacted via phone (704) 927-5881.

Contact Information

Primary practice address
15720 John J Delaney Dr Suite 300 Charlotte NC 28277-3430
Fax: (704) 944-3201
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3748 North Carolina

Profile Details

NPI number 1457340952
LBN Legal business name Reisfeld, Edwin H.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Aug 22nd, 2011 - about 13 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 1457340952 NPPES
North Carolina Other 2826004A MEDICARE INDIVIDUAL PTAN
North Carolina Other 2826004 MEDICARE INDIVIDUAL PTAN

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