Poole, James M

Poole, James M is an individual health care provider with primary practice located at 11130 Capital Blvd , Wake Forest NC 27587-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Poole, James M can be contacted via phone (919) 488-4094.

Contact Information

Primary practice address
11130 Capital Blvd Wake Forest NC 27587-4513
Phone: (919) 488-4094
Fax: (919) 488-4096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23168 North Carolina

Profile Details

NPI number 1124087978
LBN Legal business name Poole, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 12th, 2013 - about 11 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 1124087978 NPPES
North Carolina MEDICAID 5901013
North Carolina MEDICAID 890137Q
North Carolina MEDICAID 8968416

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