Robertson, Carroll Bracey
Robertson, Carroll Bracey is an sole proprietor health care provider with primary practice located at 902B Roanoke Ave , Elizabeth City NC 27909-5565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, Carroll Bracey can be contacted via phone (252) 384-0154.Contact Information
Primary practice address
902B Roanoke Ave
Elizabeth City NC 27909-5565
Phone: (252) 384-0154
Fax: (252) 335-2731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9300298 | North Carolina |
Profile Details
| NPI number | 1134154511 |
|---|---|
| LBN Legal business name | Robertson, Carroll Bracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 6th, 2009 - about 17 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 | 1134154511 | NPPES |
| North Carolina | MEDICAID | 8972152 |
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