Earnest, Dan Ross
Earnest, Dan Ross is an individual health care provider with primary practice located at 311 4E Judges Rd , Wilmington NC 28405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Earnest, Dan Ross can be contacted via phone (910) 791-6767.Contact Information
Primary practice address
311 4E Judges Rd
Wilmington NC 28405
Phone: (910) 791-6767
Fax: (910) 791-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004252 | North Carolina |
Profile Details
| NPI number | 1841261401 |
|---|---|
| LBN Legal business name | Earnest, Dan Ross |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 18th, 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 | 1841261401 | NPPES |
| North Carolina | MEDICAID | 6003462 | |
| North Carolina | Other | 13607 | |
| North Carolina | Other | 61-00151 |
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