Short, Joan S.
Short, Joan S. is an individual health care provider with primary practice located at 270 Copperfield Blvd Ne Suite 102, Concord NC 28025-2441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Short, Joan S. can be contacted via phone (704) 786-6521.Contact Information
Primary practice address
270 Copperfield Blvd Ne Suite 102
Concord NC 28025-2441
Phone: (704) 786-6521
Fax: (704) 782-9703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0050-02512 | North Carolina |
Profile Details
| NPI number | 1831248186 |
|---|---|
| LBN Legal business name | Short, Joan S. |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | May 9th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831248186 | NPPES |
| North Carolina | MEDICAID | 7003882 |
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