Powell, Robert N

Powell, Robert N is an individual health care provider with primary practice located at 102B Medical Dr , Elizabeth City NC 27909-3361. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Powell, Robert N can be contacted via phone (252) 338-4117.

Contact Information

Primary practice address
102B Medical Dr Elizabeth City NC 27909-3361
Phone: (252) 338-4117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16929 North Carolina

Profile Details

NPI number 1043284342
LBN Legal business name Powell, Robert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1043284342 NPPES
North Carolina Other 16929 STATE MEDICAL LICENSE
North Carolina MEDICAID 8968835 STATE MEDICAL LICENSE

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