Hall, Clarissa Roberts
Hall, Clarissa Roberts is an individual health care provider with primary practice located at 200 S Post Rd , Shelby NC 28152-6269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hall, Clarissa Roberts can be contacted via phone (980) 484-5211.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5005275 | North Carolina |
Profile Details
| NPI number | 1164702734 |
|---|---|
| LBN Legal business name | Hall, Clarissa Roberts |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2011 |
| Last updated | Dec 16th, 2016 - about 9 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 | 1164702734 | NPPES |
| North Carolina | MEDICAID | 7005159 |
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