Rutledge, James Wallace

Rutledge, James Wallace is an individual health care provider with primary practice located at 1430 Willow Ln West Park C61-2, North Wilkesboro NC 28659-3551. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Rutledge, James Wallace can be contacted via phone (336) 667-5151.

Contact Information

Primary practice address
1430 Willow Ln West Park C61-2 North Wilkesboro NC 28659-3551
Phone: (336) 667-5151
Fax: (828) 262-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4375 North Carolina

Profile Details

NPI number 1356300677
LBN Legal business name Rutledge, James Wallace
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1356300677 NPPES
North Carolina Other 141F9 BCBS OF NC
North Carolina MEDICAID 6103062 BCBS OF NC

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