Staten, James R
Staten, James R is an individual health care provider with primary practice located at 500 E Lauchwood Dr , Laurinburg NC 28352-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Staten, James R can be contacted via phone (910) 291-7000.Contact Information
Primary practice address
500 E Lauchwood Dr
Laurinburg NC 28352-5501
Phone: (910) 291-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 2004-00268 | North Carolina |
Profile Details
NPI number | 1023012622 |
---|---|
LBN Legal business name | Staten, James R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Sep 11th, 2012 - about 12 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 | 1023012622 | NPPES |
North Carolina | MEDICAID | 89136WA |
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