Caldwell, Robbie Tyrone

Caldwell, Robbie Tyrone is an sole proprietor health care provider with primary practice located at 411 Amhurst St Sw , Concord NC 28025-8838. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Caldwell, Robbie Tyrone can be contacted via phone (704) 794-8790.

Contact Information

Primary practice address
411 Amhurst St Sw Concord NC 28025-8838
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1205198413
LBN Legal business name Caldwell, Robbie Tyrone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205198413 NPPES
North Carolina MEDICAID 274178413EIN

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