Mayo, Clarence

Mayo, Clarence is an sole proprietor health care provider with primary practice located at 153 Blackheath , Williamsburg VA 23188-7482. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Mayo, Clarence can be contacted via phone (757) 209-1060.

Contact Information

Primary practice address
153 Blackheath Williamsburg VA 23188-7482
Fax: (757) 345-0125
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 1586 Virginia

Profile Details

NPI number 1962821611
LBN Legal business name Mayo, Clarence
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2014
Last updated Apr 9th, 2014 - about 10 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.

Request for update

Popular Providers