Bruce Eads is a Clinical in Raleigh, North Carolina. Bruce Eads practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Eads is 1396709341. The last update date is 2007-07-08.
Bruce Eads's current location address is 2359 Derby Dr, Raleigh, North Carolina. You can contact this provider via phone number 9194127069 and fax number 9198324708. The mailing address for Bruce Eads is 2359 Derby Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Eads |
|---|---|
| Address | 2359 Derby Dr, Raleigh, North Carolina |
| Phone Number | 9194127069 |
| Fax Number | 9198324708 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396709341 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2359 Derby Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276101741 |
| Phone Number | 9194127069 |
| Fax Number | 9198324708 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004096 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6003683 | NC | -- | |
| 1350000000 | NC | BCBSNC |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Eads by the Centers for Medicare & Medicaid Services?
The Bruce Eads has been assigned the NPI (National Provider Identifier) 1396709341. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Eads is located?
The Bruce Eads is situated at the following address: 2359 Derby Dr, Raleigh, NC, 276101741.
What is the Bruce Eads's specialty and taxonomy code?
The Bruce Eads's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Bruce Eads receive its 1396709341 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Eads was assigned its 1396709341 by the Centers for Medicare & Medicaid Services on 2006-04-14.
As of what date was the information regarding Bruce Eads, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Eads, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.