Sistasis, Jim
Sistasis, Jim is an individual health care provider with primary practice located at 147 E Academy St , Asheboro NC 27203-5706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sistasis, Jim can be contacted via phone (336) 633-1212.Contact Information
Primary practice address
147 E Academy St
Asheboro NC 27203-5706
Phone: (336) 633-1212
Fax: (336) 633-1218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9901476 | North Carolina |
Profile Details
| NPI number | 1629051115 |
|---|---|
| LBN Legal business name | Sistasis, Jim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Oct 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629051115 | NPPES |
| North Carolina | MEDICAID | 89131HV |
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