Prentice, Cassidy H

Prentice, Cassidy H is an individual health care provider with primary practice located at 903 N Arendell Ave , Zebulon NC 27597-2307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Prentice, Cassidy H can be contacted via phone (919) 404-0445.

Contact Information

Primary practice address
903 N Arendell Ave Zebulon NC 27597-2307
Fax: (919) 404-1642
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-04382 North Carolina

Profile Details

NPI number 1689009169
LBN Legal business name Prentice, Cassidy H
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689009169 NPPES
North Carolina MEDICAID 1689009169

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