Masters, Clay Wesley
Masters, Clay Wesley is an individual health care provider with primary practice located at 204 E 19Th St , Panama City FL 32405-4707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Masters, Clay Wesley can be contacted via phone (850) 763-5409.Contact Information
Primary practice address
204 E 19Th St
Panama City FL 32405-4707
Phone: (850) 763-5409
Fax: (850) 763-4072
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9168146 | Florida |
Profile Details
NPI number | 1336171172 |
---|---|
LBN Legal business name | Masters, Clay Wesley |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Nov 15th, 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 | 1336171172 | NPPES |
Florida | MEDICAID | 307144800 |
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