Poag, John C

Poag, John C is an individual health care provider with primary practice located at 200 E Bessemer Ave , Greensboro NC 27401-1416. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Poag, John C can be contacted via phone (336) 574-0074.

Contact Information

Primary practice address
200 E Bessemer Ave Greensboro NC 27401-1416
Phone: (336) 574-0074
Fax: (336) 379-7466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2038 North Carolina

Profile Details

NPI number 1346281318
LBN Legal business name Poag, John C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346281318 NPPES
North Carolina Other 6128436 UNITED HEALTHCARE
North Carolina Other 03926 UNITED HEALTHCARE
North Carolina Other 7466109 UNITED HEALTHCARE
North Carolina MEDICAID 6000008 UNITED HEALTHCARE

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