Gaddy, Robert Michael

Gaddy, Robert Michael is an individual health care provider with primary practice located at 631 Willow Creek Rd , Leicester NC 28748-5646. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gaddy, Robert Michael can be contacted via phone (828) 318-0148.

Contact Information

Primary practice address
631 Willow Creek Rd Leicester NC 28748-5646
Phone: (828) 318-0148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSAC-20931 North Carolina

Profile Details

NPI number 1518412220
LBN Legal business name Gaddy, Robert Michael
Credentials CSAC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Aug 23rd, 2016 - about 9 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 1518412220 NPPES
North Carolina Other 46-3813098 RED OAK RECOVERY

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