Hanbury, Carl Hathaway

Hanbury, Carl Hathaway is an individual health care provider with primary practice located at 305 E Main St , Elizabeth City NC 27909-4425. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hanbury, Carl Hathaway can be contacted via phone (252) 335-0803.

Contact Information

Primary practice address
305 E Main St Elizabeth City NC 27909-4425
Phone: (252) 335-0803
Fax: (252) 335-9143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 777 North Carolina

Profile Details

NPI number 1679672166
LBN Legal business name Hanbury, Carl Hathaway
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
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 1679672166 NPPES
North Carolina MEDICAID 6102513

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