Prouse, Deborah Marisa

Prouse, Deborah Marisa is an individual health care provider with primary practice located at 2076 Hwy 42 West Suite 300, Clayton NC 27520-5302. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Prouse, Deborah Marisa can be contacted via phone (919) 220-5255.

Contact Information

Primary practice address
2076 Hwy 42 West Suite 300 Clayton NC 27520-5302
Phone: (919) 220-5255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06287 North Carolina

Profile Details

NPI number 1063512093
LBN Legal business name Prouse, Deborah Marisa
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 13th, 2021 - about 3 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 1063512093 NPPES
North Carolina Other 0010-06287 MEDICAL LICENSE

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