Carpenter, Jimmy Wayne

Carpenter, Jimmy Wayne is an sole proprietor health care provider with primary practice located at 4500 Indiana Ave Ste 45 , Winston Salem NC 27106-3269. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carpenter, Jimmy Wayne can be contacted via phone (336) 245-4736.

Contact Information

Primary practice address
4500 Indiana Ave Ste 45 Winston Salem NC 27106-3269
Fax: (888) 812-7934
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1962781047
LBN Legal business name Carpenter, Jimmy Wayne
Credentials C.PED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2011
Last updated Aug 8th, 2011 - about 14 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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