Springer, Kurt Elvin
Springer, Kurt Elvin is an individual health care provider with primary practice located at 2944 Breezewood Ave , Fayetteville NC 28303-5415. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Springer, Kurt Elvin can be contacted via phone (910) 609-1717.Contact Information
Primary practice address
2944 Breezewood Ave
Fayetteville NC 28303-5415
Phone: (910) 609-1717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C005173 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C005173 | North Carolina |
Profile Details
| NPI number | 1669432787 |
|---|---|
| LBN Legal business name | Springer, Kurt Elvin |
| Credentials | MSW, LCSW, QP, SAC |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669432787 | NPPES |
| North Carolina | Other | C005173 | NC SWCLB LCSW NUMBER |
| North Carolina | MEDICAID | 6106264 | NC SWCLB LCSW NUMBER |
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