| Loydpierson, Inc. | |
|
3214 Stoneybrook Rd Charlotte NC 28205-3154 | |
| (704) 342-3456 | |
| Not Available |
| Full Name | Loydpierson, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3214 Stoneybrook Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Philip Loydpierson (PRESIDENT) |
| Authorized Official Contact | 7043423456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loydpierson, Inc. 3214 Stoneybrook Rd Charlotte NC 28205-3154 Ph: (704) 342-3456 | Loydpierson, Inc. 3214 Stoneybrook Rd Charlotte NC 28205-3154 Ph: (704) 342-3456 |
| NPI Number | 1154561967 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 03/06/2009 |
| Medicare PECOS PAC ID | 3870648710 |
|---|---|
| Medicare Enrollment ID | O20090828000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C001636 (North Carolina) | Primary |
| Provider Name | Philip A Loydpierson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275702029 PECOS PAC ID: 6507911435 Enrollment ID: I20090828000438 |
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