Feldman, Jeffrey Bruce
Feldman, Jeffrey Bruce is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Feldman, Jeffrey Bruce can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-9810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1474 | North Carolina |
Profile Details
| NPI number | 1427035575 |
|---|---|
| LBN Legal business name | Feldman, Jeffrey Bruce |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Nov 15th, 2010 - about 16 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 | 1427035575 | NPPES |
| Other | 94058 | MEDCOST | |
| Other | 0346M | MEDCOST | |
| MEDICAID | 1427035575 | MEDCOST | |
| MEDICAID | 6000426 | MEDCOST |
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