Clay, John R
Clay, John R is an sole proprietor health care provider with primary practice located at 233 Johns Road , Maxton NC 28364-1650. He recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Clay, John R can be contacted via phone (336) 889-5909.Contact Information
Primary practice address
233 Johns Road
Maxton NC 28364-1650
Phone: (336) 889-5909
Fax: (910) 390-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | ||
| Other Service Providers / Specialist | 174400000X | 7795381 | North Carolina |
Profile Details
| NPI number | 1487899357 |
|---|---|
| LBN Legal business name | Clay, John R |
| Credentials | CERTIFIED PEDORTHIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2008 |
| Last updated | Aug 25th, 2022 - about 2 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 | 1487899357 | NPPES |
| North Carolina | MEDICAID | 7701886 |
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