Simpson, 111, John Childs

Simpson, 111, John Childs is an sole proprietor health care provider with primary practice located at 121 Greenwich Rd Suite 215, Charlotte NC 28211-2355. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Simpson, 111, John Childs can be contacted via phone (704) 362-7007.

Contact Information

Primary practice address
121 Greenwich Rd Suite 215 Charlotte NC 28211-2355
Phone: (704) 362-7007
Fax: (704) 362-7007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0745 North Carolina

Profile Details

NPI number 1871534065
LBN Legal business name Simpson, 111, John Childs
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Nov 5th, 2009 - about 15 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 1871534065 NPPES
North Carolina Other 04674 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6001077 BLUE CROSS BLUE SHIELD

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