Deluca, Philip Joseph

Deluca, Philip Joseph is an individual health care provider with primary practice located at 214 E Franklin Blvd , Gastonia NC 28052-4106. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Deluca, Philip Joseph can be contacted via phone (704) 864-7704.

Contact Information

Primary practice address
214 E Franklin Blvd Gastonia NC 28052-4106
Phone: (704) 864-7704
Fax: (704) 862-0239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000132 North Carolina

Profile Details

NPI number 1164465530
LBN Legal business name Deluca, Philip Joseph
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 21st, 2022 - about 4 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 1164465530 NPPES
North Carolina MEDICAID 6002096
North Carolina Other 28312

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