Eads, Bruce

Eads, Bruce is an individual health care provider with primary practice located at 1100 Navaho Dr Suite 123, Raleigh NC 27609-7319. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eads, Bruce can be contacted via phone (919) 412-7069.

Contact Information

Primary practice address
1100 Navaho Dr Suite 123 Raleigh NC 27609-7319
Phone: (919) 412-7069
Fax: (919) 832-4708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004096 North Carolina

Profile Details

NPI number 1396709341
LBN Legal business name Eads, Bruce
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 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 1396709341 NPPES
North Carolina MEDICAID 6003683
North Carolina Other 135E7

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