Provider Demographics
NPI:1043443096
Name:INDEPENDENT ASSESSMENT CONSULTANTS, LTD.
Entity type:Organization
Organization Name:INDEPENDENT ASSESSMENT CONSULTANTS, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-673-2803
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:CANDOR
Mailing Address - State:NC
Mailing Address - Zip Code:27229-0246
Mailing Address - Country:US
Mailing Address - Phone:910-673-2803
Mailing Address - Fax:910-974-4113
Practice Address - Street 1:116 MAC DOUGALL DRIVE
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376
Practice Address - Country:US
Practice Address - Phone:910-673-2803
Practice Address - Fax:910-974-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1363251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health