Powell, Jess Averette

Powell, Jess Averette is an individual health care provider with primary practice located at 222 N Lafayette St Suite 1, Shelby NC 28150-4444. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Powell, Jess Averette can be contacted via phone (704) 482-3880.

Contact Information

Primary practice address
222 N Lafayette St Suite 1 Shelby NC 28150-4444
Phone: (704) 482-3880
Fax: (704) 487-0294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22163 North Carolina

Profile Details

NPI number 1316926611
LBN Legal business name Powell, Jess Averette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 7th, 2023 - about 3 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 1316926611 NPPES
North Carolina MEDICAID 8968644
North Carolina Other 22163
North Carolina Other 68644
North Carolina MEDICAID 293590

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