Shore, Ethel Caroline
Shore, Ethel Caroline is an individual health care provider with primary practice located at 3150 Rogers Rd Ste 101 , Wake Forest NC 27587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shore, Ethel Caroline can be contacted via phone (919) 504-4000.Contact Information
Primary practice address
3150 Rogers Rd Ste 101
Wake Forest NC 27587
Phone: (919) 504-4000
Fax: (984) 235-1250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0010-07550 | North Carolina |
Profile Details
| NPI number | 1114434990 |
|---|---|
| LBN Legal business name | Shore, Ethel Caroline |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2018 |
| Last updated | Feb 28th, 2019 - about 5 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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