Durham, Stephen Bryan

Durham, Stephen Bryan is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Durham, Stephen Bryan can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9800520 North Carolina

Profile Details

NPI number 1558366765
LBN Legal business name Durham, Stephen Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 29th, 2010 - about 14 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 1558366765 NPPES
North Carolina MEDICAID 8911378
North Carolina MEDICAID Q0052B
North Carolina Other 01-28754
North Carolina Other 930077029
North Carolina Other B4544
North Carolina Other 11378
North Carolina Other 930084670

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