Mcphaul, Vontavia

Mcphaul, Vontavia is an sole proprietor health care provider with primary practice located at 111 Clyde St , Bennettsville SC 29512-3117. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Mcphaul, Vontavia can be contacted via phone (910) 250-8811.

Contact Information

Primary practice address
111 Clyde St Bennettsville SC 29512-3117
Phone: (910) 250-8811
Fax: (910) 401-1053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972074409
LBN Legal business name Mcphaul, Vontavia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2018
Last updated Dec 10th, 2018 - about 8 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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