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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669529970 NPPES
North Carolina MEDICAID 3409116
North Carolina MEDICAID 6600648

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