Ingram, Paulette Keith
Ingram, Paulette Keith is an individual health care provider with primary practice located at 529 Becker Dr , Roanoke Rapids NC 27870-3303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ingram, Paulette Keith can be contacted via phone (252) 537-1400.Contact Information
Primary practice address
529 Becker Dr
Roanoke Rapids NC 27870-3303
Phone: (252) 537-1400
Fax: (252) 537-4936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28419 | North Carolina |
Profile Details
| NPI number | 1437119112 |
|---|---|
| LBN Legal business name | Ingram, Paulette Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Sep 21st, 2012 - about 14 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 | 1437119112 | NPPES |
| North Carolina | MEDICAID | 8945264 |
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