1073185245 NPI number — MR. JACK L ELLERBE JR. MSW, LCAS

Table of content: MR. JACK L ELLERBE JR. MSW, LCAS (NPI 1073185245)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073185245 NPI number — MR. JACK L ELLERBE JR. MSW, LCAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ELLERBE
Provider First Name:
JACK
Provider Middle Name:
L
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MSW, LCAS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073185245
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 259
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLD HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28071-0259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-279-1199
Provider Business Mailing Address Fax Number:
704-279-7668

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
665 TIMBER TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOLD HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28071-7500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-279-1199
Provider Business Practice Location Address Fax Number:
704-279-7668
Provider Enumeration Date:
07/15/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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