Ezzell, Stanton W

Ezzell, Stanton W is an individual health care provider with primary practice located at 703 Newman Rd , New Bern NC 28562-5239. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Ezzell, Stanton W can be contacted via phone (252) 635-5290.

Contact Information

Primary practice address
703 Newman Rd New Bern NC 28562-5239
Phone: (252) 635-5290
Fax: (252) 633-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300311 North Carolina

Profile Details

NPI number 1407920739
LBN Legal business name Ezzell, Stanton W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407920739 NPPES
North Carolina Other 300311 NC MEDICAL LICENSE

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