Healthcare Provider Details

I. General information

NPI: 1043313125
Provider Name (Legal Business Name): WILLIAM E ELMORE LPA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 GOVERNMENT AVE SW SUITE 305
HICKORY NC
28602-2954
US

IV. Provider business mailing address

201 GOVERNMENT AVE SW SUITE 305
HICKORY NC
28602-2954
US

V. Phone/Fax

Practice location:
  • Phone: 828-267-1740
  • Fax: 828-267-1746
Mailing address:
  • Phone: 828-267-1740
  • Fax: 828-267-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0237
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: