Shiro, Brian Charles

Shiro, Brian Charles is an individual health care provider with primary practice located at 1915 S 17Th St Suite 100, Wilmington NC 28401-6681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shiro, Brian Charles can be contacted via phone (910) 362-9511.

Contact Information

Primary practice address
1915 S 17Th St Suite 100 Wilmington NC 28401-6681
Phone: (910) 362-9511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 30859 North Carolina

Profile Details

NPI number 1093703175
LBN Legal business name Shiro, Brian Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 30th, 2008 - about 16 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 1093703175 NPPES
North Carolina Other 75966 BCBS OF NC
North Carolina MEDICAID 8975966 BCBS OF NC
North Carolina Other 220012149 BCBS OF NC
North Carolina MEDICAID Q30859 BCBS OF NC

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