Acra, Paul Douglas

Acra, Paul Douglas is an individual health care provider with primary practice located at 3175 Custer Dr , Lexington KY 40517-4023. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Acra, Paul Douglas can be contacted via phone (859) 273-1288.

Contact Information

Primary practice address
3175 Custer Dr Lexington KY 40517-4023
Phone: (859) 273-1288
Fax: (859) 273-1278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14L Kentucky

Profile Details

NPI number 1609839539
LBN Legal business name Acra, Paul Douglas
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609839539 NPPES
Kentucky Other 000000273363 ANTHEM BC/BS
Kentucky MEDICAID 82000472 ANTHEM BC/BS

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