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:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1558547794 | NPPES |
North Carolina | MEDICAID | 8700510 |
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