Nordstrom, Carl Robert

Nordstrom, Carl Robert is an sole proprietor health care provider with primary practice located at 739 E Oakwood Ave , Albemarle NC 28001-4249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nordstrom, Carl Robert can be contacted via phone (704) 550-5860.

Contact Information

Primary practice address
739 E Oakwood Ave Albemarle NC 28001-4249
Phone: (704) 550-5860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0022424 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22424 North Carolina

Profile Details

NPI number 1023099181
LBN Legal business name Nordstrom, Carl Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Mar 5th, 2015 - about 9 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 1023099181 NPPES
North Carolina Other 63026 BC/BS
North Carolina Other 080100464 BC/BS
North Carolina MEDICAID 8963026 BC/BS

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