Elbinias-Tan, Shirley
Elbinias-Tan, Shirley is an individual health care provider with primary practice located at 4092 Professional Dr , Hope Mills NC 28348-2366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elbinias-Tan, Shirley can be contacted via phone (910) 615-3120.Contact Information
Primary practice address
4092 Professional Dr
Hope Mills NC 28348-2366
Phone: (910) 615-3120
Fax: (910) 423-6050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200201575 | North Carolina |
Profile Details
| NPI number | 1083606685 |
|---|---|
| LBN Legal business name | Elbinias-Tan, Shirley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 20th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083606685 | NPPES |
| North Carolina | MEDICAID | 89133AG |
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