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
Phone: (704) 927-5881
Fax: (704) 944-3201
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1457340952 | NPPES |
| North Carolina | Other | 2826004A | MEDICARE INDIVIDUAL PTAN |
| North Carolina | Other | 2826004 | MEDICARE INDIVIDUAL PTAN |
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