Prosource Therapeutics Llc in Greenville - Professional
Prosource Therapeutics Llc - NPI 1992758429
Prosource Therapeutics Llc is a Professional in Greenville, North Carolina. Prosource Therapeutics Llc practices all healthcare services and medical treatments related to Professional. The NPI Number for Prosource Therapeutics Llc is 1992758429. The last update date is 2009-03-26.
Prosource Therapeutics Llc's current location address is 102 Fox Haven Dr, Greenville, North Carolina. You can contact this provider via phone number 2523537025 and fax number 2523537028. The mailing address for Prosource Therapeutics Llc is 102 Fox Haven Dr, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prosource Therapeutics Llc |
|---|---|
| Address | 102 Fox Haven Dr, Greenville, North Carolina |
| Phone Number | 2523537025 |
| Fax Number | 2523537028 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Smith Saunders Phyllis |
| Telephone Number | 2523537025 |
NPI Number Detail
| NPI Number | 1992758429 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-03-26 |
Provider Mailing Address Detail
| Address | 102 Fox Haven Dr |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278587100 |
| Phone Number | 2523537025 |
| Fax Number | 2523537028 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2971 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 017PN | NC | NC BLUE CROSS BLUE SHIELD | |
| 6005734 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prosource Therapeutics Llc by the Centers for Medicare & Medicaid Services?
The Prosource Therapeutics Llc has been assigned the NPI (National Provider Identifier) 1992758429 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Prosource Therapeutics Llc is physically located?
The Prosource Therapeutics Llc is physically situated at the following address: 102 Fox Haven Dr, Greenville, NC, 278587100.
What is Prosource Therapeutics Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prosource Therapeutics Llc's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date was the 1992758429 assigned to Prosource Therapeutics Llc?
The Prosource Therapeutics Llc was issued its 1992758429 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Prosource Therapeutics Llc most recently updated or revised?
The information pertaining to Prosource Therapeutics Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY