Mckeithan, Edward Marvin
Mckeithan, Edward Marvin is an sole proprietor health care provider with primary practice located at 3971 Business 17 E , Bolivia NC 28422-8675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mckeithan, Edward Marvin can be contacted via phone (910) 500-6451.Contact Information
Primary practice address
3971 Business 17 E
Bolivia NC 28422-8675
Phone: (910) 500-6451
Fax: (910) 500-6458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 105024 | North Carolina |
Profile Details
| NPI number | 1821295668 |
|---|---|
| LBN Legal business name | Mckeithan, Edward Marvin |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Dec 12th, 2024 - about 2 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 | 1821295668 | NPPES |
| North Carolina | Other | 1992351910 | BCBS |
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