Hughes, Derrance Wayne
Hughes, Derrance Wayne is an sole proprietor health care provider with primary practice located at 209 Evans St , Greenville NC 27858-1121. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hughes, Derrance Wayne can be contacted via phone (252) 799-6339.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4012 | North Carolina |
Profile Details
| NPI number | 1124006614 |
|---|---|
| LBN Legal business name | Hughes, Derrance Wayne |
| Credentials | MAED. NCC LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124006614 | NPPES |
| North Carolina | Other | 1315M | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 6102060 | BLUE CROSS BLUE SHIELD |
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