Thomas, Keayon Dontre
Thomas, Keayon Dontre is an sole proprietor health care provider with primary practice located at 1865 Gumberry Ct , Hope Mills NC 28348-8421. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Thomas, Keayon Dontre can be contacted via phone (910) 710-4520.Contact Information
Primary practice address
1865 Gumberry Ct
Hope Mills NC 28348-8421
Phone: (910) 710-4520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1497464556 |
|---|---|
| LBN Legal business name | Thomas, Keayon Dontre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2022 |
| Last updated | Nov 17th, 2022 - about 2 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 | 1497464556 | NPPES |
| North Carolina | Other | 996140124 | UNITED HEALTHCARE |
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