Pannell, Christa R
Pannell, Christa R is an individual health care provider with primary practice located at 799 Hickory Tree Rd , Winston-Salem NC 27127-9139. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pannell, Christa R can be contacted via phone (336) 764-3304.Contact Information
Primary practice address
799 Hickory Tree Rd
Winston-Salem NC 27127-9139
Phone: (336) 764-3304
Fax: (336) 764-1018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200300860 | North Carolina |
Profile Details
| NPI number | 1548235641 |
|---|---|
| LBN Legal business name | Pannell, Christa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Nov 3rd, 2011 - about 15 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 | 1548235641 | NPPES |
| North Carolina | Other | 0105243 | UNITED HEALTHCARE |
| North Carolina | Other | 138UA | UNITED HEALTHCARE |
| North Carolina | Other | 7185519 | UNITED HEALTHCARE |
| North Carolina | Other | 805412 | UNITED HEALTHCARE |
| North Carolina | Other | D7949 | UNITED HEALTHCARE |
| North Carolina | Other | 2127507 | UNITED HEALTHCARE |
| North Carolina | Other | 7801618 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 5900099 | UNITED HEALTHCARE |
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