Minor-Schork, Debra Lynne

Minor-Schork, Debra Lynne is an individual health care provider with primary practice located at 407 S. Broad St. Ste. 1 , Edenton NC 27932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Minor-Schork, Debra Lynne can be contacted via phone (252) 562-8833.

Contact Information

Primary practice address
407 S. Broad St. Ste. 1 Edenton NC 27932
Phone: (252) 562-8833
Fax: (252) 482-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 147129-01 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 100093 North Carolina

Profile Details

NPI number 1003888306
LBN Legal business name Minor-Schork, Debra Lynne
Credentials RN MSN CS B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 21st, 2022 - about 3 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 1003888306 NPPES
North Carolina Other 890000166 RAILROAD MEDICARE
North Carolina Other 1037A RAILROAD MEDICARE
North Carolina MEDICAID 6004026 RAILROAD MEDICARE

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