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
Fax: (850) 763-4072
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336171172 NPPES
Florida MEDICAID 307144800

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