Guy, Jeaneal

Guy, Jeaneal is an individual health care provider with primary practice located at 102 Elizabeth St Ste C , Jacksonville NC 28540-5679. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Guy, Jeaneal can be contacted via phone (706) 571-7771.

Contact Information

Primary practice address
102 Elizabeth St Ste C Jacksonville NC 28540-5679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922357482
LBN Legal business name Guy, Jeaneal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Aug 30th, 2012 - about 14 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 1922357482 NPPES
Massachusetts MEDICAID MA110026265

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