Mcdonald, Jeffrey Layne
Mcdonald, Jeffrey Layne is an individual health care provider with primary practice located at 1142 Shipyard Blvd , Wilmington NC 28412-6439. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcdonald, Jeffrey Layne can be contacted via phone (910) 350-0067.Contact Information
Primary practice address
1142 Shipyard Blvd
Wilmington NC 28412-6439
Phone: (910) 350-0067
Fax: (910) 350-0065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1740261734 |
|---|---|
| LBN Legal business name | Mcdonald, Jeffrey Layne |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740261734 | NPPES |
| North Carolina | MEDICAID | 7703733 |
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