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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740261734 NPPES
North Carolina MEDICAID 7703733

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