Mccloud, Willard L
Mccloud, Willard L is an sole proprietor health care provider with primary practice located at 204 Becker Dr , Roanoke Rapids NC 27870-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccloud, Willard L can be contacted via phone (252) 537-8193.Contact Information
Primary practice address
204 Becker Dr
Roanoke Rapids NC 27870-3134
Phone: (252) 537-8193
Fax: (252) 537-0589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24685 | North Carolina |
Profile Details
| NPI number | 1891831905 |
|---|---|
| LBN Legal business name | Mccloud, Willard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Nov 11th, 2020 - about 6 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 | 1891831905 | NPPES |
| North Carolina | MEDICAID | 8955819 |
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