Pearson, Clarence E

Pearson, Clarence E is an sole proprietor health care provider with primary practice located at 1107B Brookdale St , Martinsville VA 24112-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pearson, Clarence E can be contacted via phone (276) 634-4400.

Contact Information

Primary practice address
1107B Brookdale St Martinsville VA 24112-4501
Phone: (276) 634-4400
Fax: (276) 638-2900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101033368 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2003-0352 New Mexico

Profile Details

NPI number 1083618987
LBN Legal business name Pearson, Clarence E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Mar 7th, 2023 - about last year

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 1083618987 NPPES
New Mexico MEDICAID 21931828

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