Eads, Jeffery Bryant
Eads, Jeffery Bryant is an individual health care provider with primary practice located at 351 Riverside Dr , Mount Airy NC 27030-3850. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Eads, Jeffery Bryant can be contacted via phone (336) 786-7079.Contact Information
Primary practice address
351 Riverside Dr
Mount Airy NC 27030-3850
Phone: (336) 786-7079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4697 | North Carolina |
Profile Details
| NPI number | 1366595415 |
|---|---|
| LBN Legal business name | Eads, Jeffery Bryant |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366595415 | NPPES |
| North Carolina | MEDICAID | 6102538 |
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