Seamon, Jeremy B
Seamon, Jeremy B is an sole proprietor health care provider with primary practice located at 57 Office Park Dr , Jacksonville NC 28546-7327. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Seamon, Jeremy B can be contacted via phone (910) 577-8200.Contact Information
Primary practice address
57 Office Park Dr
Jacksonville NC 28546-7327
Phone: (910) 577-8200
Fax: (910) 577-8270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1726 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 7682 | North Carolina |
Profile Details
| NPI number | 1659673184 |
|---|---|
| LBN Legal business name | Seamon, Jeremy B |
| Credentials | MA, LPC, LCAS, CSI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2010 |
| Last updated | Sep 25th, 2015 - about 10 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 | 1659673184 | NPPES |
| North Carolina | MEDICAID | 6112214 |
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