Mccutcheon, Debra Reid
Mccutcheon, Debra Reid is an individual health care provider with primary practice located at 5053 Executive Dr Ste B, Morehead City NC 28557-2506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mccutcheon, Debra Reid can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
5053 Executive Dr Ste B
Morehead City NC 28557-2506
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2009-01072 | North Carolina |
Profile Details
NPI number | 1184804411 |
---|---|
LBN Legal business name | Mccutcheon, Debra Reid |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2007 |
Last updated | Mar 6th, 2017 - about 8 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 | 1184804411 | NPPES |
Virginia | MEDICAID | 1184804411 | |
Virginia | MEDICAID | Q0107R |
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