Irvin, Stephen Brian

Irvin, Stephen Brian is an individual health care provider with primary practice located at 1050 Jabarrah Ave , Seymour Johnson A F B NC 27531-2310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Irvin, Stephen Brian can be contacted via phone (919) 722-1580.

Contact Information

Primary practice address
1050 Jabarrah Ave Seymour Johnson A F B NC 27531-2310
Phone: (919) 722-1580
Fax: (919) 722-1956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200001493 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 200001493 North Carolina

Profile Details

NPI number 1053316562
LBN Legal business name Irvin, Stephen Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 24th, 2008 - about 17 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 1053316562 NPPES
North Carolina Other 128N0 BCBS
North Carolina Other P00451050 BCBS
North Carolina Other D9807 BCBS

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