White, Eddie Vernon
White, Eddie Vernon is an individual health care provider with primary practice located at 3224 Lake Woodard Dr Suite 100, Raleigh NC 27604-3659. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. White, Eddie Vernon can be contacted via phone (919) 231-6890.Contact Information
Primary practice address
3224 Lake Woodard Dr Suite 100
Raleigh NC 27604-3659
Phone: (919) 231-6890
Fax: (919) 231-3490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1023166881 |
|---|---|
| LBN Legal business name | White, Eddie Vernon |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | May 1st, 2013 - about 11 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 | 1023166881 | NPPES |
| North Carolina | Other | 0414L | BCBS |
| North Carolina | MEDICAID | 7702039 | BCBS |
| North Carolina | MEDICAID | 7795002 | BCBS |
| North Carolina | MEDICAID | 7704336 | BCBS |
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