Imperial, Eva A
Imperial, Eva A is an individual health care provider with primary practice located at 114 Gateway Blvd Ste B , Mooresville NC 28117-5598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Imperial, Eva A can be contacted via phone (980) 435-0409.Contact Information
Primary practice address
114 Gateway Blvd Ste B
Mooresville NC 28117-5598
Phone: (980) 435-0409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22642 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2010-01472 | North Carolina |
Profile Details
| NPI number | 1023018082 |
|---|---|
| LBN Legal business name | Imperial, Eva A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Mar 8th, 2021 - about 3 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 | 1023018082 | NPPES |
| South Carolina | MEDICAID | L36224 |
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