Elmore, Jerry Timothy

Elmore, Jerry Timothy is an sole proprietor health care provider with primary practice located at 2505 Court Dr , Gastonia NC 28054-2140. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Elmore, Jerry Timothy can be contacted via phone (704) 884-2060.

Contact Information

Primary practice address
2505 Court Dr Gastonia NC 28054-2140
Phone: (704) 884-2060
Fax: (704) 854-4860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3527A North Carolina
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417386566
LBN Legal business name Elmore, Jerry Timothy
Credentials LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2013
Last updated Nov 8th, 2013 - about 12 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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