Pedersen, Ernest Neergaard
Pedersen, Ernest Neergaard is an sole proprietor health care provider with primary practice located at 2587 Ravenhill Dr , Fayetteville NC 28303-5451. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pedersen, Ernest Neergaard can be contacted via phone (910) 323-1543.Contact Information
Primary practice address
2587 Ravenhill Dr
Fayetteville NC 28303-5451
Phone: (910) 323-1543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000342 | North Carolina |
Profile Details
| NPI number | 1396726352 |
|---|---|
| LBN Legal business name | Pedersen, Ernest Neergaard |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| 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 | 1396726352 | NPPES |
| North Carolina | Other | 2118936 | CIGNA |
| North Carolina | MEDICAID | 6106080 | CIGNA |
| North Carolina | Other | 66511 | CIGNA |
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