Clegg, Herbert
Clegg, Herbert is an individual health care provider with primary practice located at 517 S Sharon Amity Rd , Charlotte NC 28211-2975. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Clegg, Herbert can be contacted via phone (704) 384-8800.Contact Information
Primary practice address
517 S Sharon Amity Rd
Charlotte NC 28211-2975
Phone: (704) 384-8800
Fax: (704) 384-8819
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26211 | North Carolina |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 26211 | North Carolina |
Profile Details
NPI number | 1669468237 |
---|---|
LBN Legal business name | Clegg, Herbert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Feb 18th, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669468237 | NPPES |
South Carolina | MEDICAID | N26211 | |
South Carolina | MEDICAID | 8922984 |
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