Bruce, Laverne

Bruce, Laverne is an sole proprietor health care provider with primary practice located at 504 E Elizabeth St Ste 1 , Elizabeth City NC 27909-4472. 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. Bruce, Laverne can be contacted via phone (252) 619-0319.

Contact Information

Primary practice address
504 E Elizabeth St Ste 1 Elizabeth City NC 27909-4472
Phone: (252) 619-0319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X North Carolina

Profile Details

NPI number 1750653945
LBN Legal business name Bruce, Laverne
Credentials LCAS-P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 14 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.

Request for update

Popular Providers