Bethel, Clarisse
Bethel, Clarisse is an sole proprietor health care provider with primary practice located at 1408 Golf Course Dr , Bowie MD 20721-2330. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bethel, Clarisse can be contacted via phone (240) 643-5523.Contact Information
Primary practice address
1408 Golf Course Dr
Bowie MD 20721-2330
Phone: (240) 643-5523
Fax: (301) 808-3060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | R176704 | Maryland |
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LP42451 | Maryland |
Agencies / Home Health | 251E00000X | ||
Nursing Service Related Providers / Home Health Aide | 374U00000X | 31841 | Maryland |
Profile Details
NPI number | 1720350770 |
---|---|
LBN Legal business name | Bethel, Clarisse |
Credentials | RN, BSN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2012 |
Last updated | Oct 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720350770 | NPPES |
Maryland | MEDICAID | NPI 53790037 |
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