Shipman, Kalub Gerrard
Shipman, Kalub Gerrard is an sole proprietor health care provider with primary practice located at 1719 Bristol Rd , Greensboro NC 27406-3854. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Shipman, Kalub Gerrard can be contacted via phone (336) 327-7976.Contact Information
Primary practice address
1719 Bristol Rd
Greensboro NC 27406-3854
Phone: (336) 327-7976
Fax: (336) 271-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | HC1786 | North Carolina |
Profile Details
| NPI number | 1669529970 |
|---|---|
| LBN Legal business name | Shipman, Kalub Gerrard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1669529970 | NPPES |
| North Carolina | MEDICAID | 3409116 | |
| North Carolina | MEDICAID | 6600648 |
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