MEDICARE: CARA JANE WORKMAN RRT/NPS RCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	4639	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093958928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA JANE WORKMAN RRT/NPS RCP

Provider Business Mailing Address
First Line	:	PO BOX 1041
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-1041
Country	:	US
Telephone Number	:	252-792-1659
Fax Number	:	252-792-2043

Provider Business Practice Location Address
First Line	:	115 E MAIN ST STE 18
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-2482
Country	:	US
Telephone Number	:	252-792-1659
Fax Number	:	252-792-2043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	07/03/2009

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