Eisele, Amy Perras

Eisele, Amy Perras is an sole proprietor health care provider with primary practice located at 229 Davie Ave , Statesville NC 28677-5316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eisele, Amy Perras can be contacted via phone (704) 878-2227.

Contact Information

Primary practice address
229 Davie Ave Statesville NC 28677-5316
Phone: (704) 878-2227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003646 North Carolina

Profile Details

NPI number 1922204692
LBN Legal business name Eisele, Amy Perras
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Jul 9th, 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 1922204692 NPPES
North Carolina MEDICAID 6002200

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