Willard, Hugh Jerome
Willard, Hugh Jerome is an individual health care provider with primary practice located at 4611 Western Blvd , Raleigh NC 27606-1815. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Willard, Hugh Jerome can be contacted via phone (919) 601-0540.Contact Information
Primary practice address
4611 Western Blvd
Raleigh NC 27606-1815
Phone: (919) 601-0540
Fax: (919) 557-9661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2458 | North Carolina |
Profile Details
| NPI number | 1164470456 |
|---|---|
| LBN Legal business name | Willard, Hugh Jerome |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 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 | 1164470456 | NPPES |
| North Carolina | Other | 128C1 | BCBS PROVIDER # |
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