Salazar, Gabriel
Salazar, Gabriel is an sole proprietor health care provider with primary practice located at 209 Spartan Rd Apt. 105, Wilmington NC 28405-3917. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Salazar, Gabriel can be contacted via phone (910) 547-7103.Contact Information
Primary practice address
209 Spartan Rd Apt. 105
Wilmington NC 28405-3917
Phone: (910) 547-7103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1625 | North Carolina |
Profile Details
| NPI number | 1902124498 |
|---|---|
| LBN Legal business name | Salazar, Gabriel |
| Credentials | LCAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2010 |
| Last updated | May 4th, 2011 - about 15 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 | 1902124498 | NPPES |
| North Carolina | MEDICAID | 6112157 |
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