Thigpen, Jacques D

Thigpen, Jacques D is an sole proprietor health care provider with primary practice located at 1221 Benjaman Drive , Greenville NC 27834-1437. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Forensic, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Thigpen, Jacques D can be contacted via phone (252) 558-3139.

Contact Information

Primary practice address
1221 Benjaman Drive Greenville NC 27834-1437
Phone: (252) 558-3139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X 27054 North Carolina
Other Service Providers / Specialist 174400000X JT873203 North Carolina

Profile Details

NPI number 1558547794
LBN Legal business name Thigpen, Jacques D
Credentials CERTIFIED/LICENSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Mar 7th, 2017 - about 7 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 1558547794 NPPES
North Carolina MEDICAID 8700510

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