Credle, William

Credle, William is an individual health care provider with primary practice located at 1202 Medical Center Dr , Wilmington NC 28401-7307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Credle, William can be contacted via phone (910) 341-3458.

Contact Information

Primary practice address
1202 Medical Center Dr Wilmington NC 28401-7307
Fax: (910) 341-3427
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19679 North Carolina

Profile Details

NPI number 1043328297
LBN Legal business name Credle, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Aug 5th, 2014 - about 10 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 1043328297 NPPES
North Carolina Other 25530 BCBS NC
North Carolina Other 110123227 BCBS NC
North Carolina MEDICAID 8925530 BCBS NC

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