Pence, Carla R
Pence, Carla R is an individual health care provider with primary practice located at 1818 Davie Ave , Statesville NC 28677-3524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pence, Carla R can be contacted via phone (704) 873-1036.Contact Information
Primary practice address
1818 Davie Ave
Statesville NC 28677-3524
Phone: (704) 873-1036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30451 | North Carolina |
Profile Details
| NPI number | 1811988231 |
|---|---|
| LBN Legal business name | Pence, Carla R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jan 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811988231 | NPPES |
| North Carolina | MEDICAID | 8966728 |
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