Stewart, Clarence M

Stewart, Clarence M is an individual health care provider with primary practice located at 2701 New Bern Ave , Raleigh NC 27610-1822. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Stewart, Clarence M can be contacted via phone (919) 231-7969.

Contact Information

Primary practice address
2701 New Bern Ave Raleigh NC 27610-1822
Phone: (919) 231-7969
Fax: (919) 231-7970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 431 North Carolina

Profile Details

NPI number 1669458915
LBN Legal business name Stewart, Clarence M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 1st, 2015 - about 9 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 1669458915 NPPES
North Carolina Other 08039 BCBS
North Carolina MEDICAID 8905939 BCBS

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