Stirman, Jerry Archibald

Stirman, Jerry Archibald is an individual health care provider with primary practice located at 1101 Dresser Ct , Raleigh NC 27609-7327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stirman, Jerry Archibald can be contacted via phone (919) 876-2010.

Contact Information

Primary practice address
1101 Dresser Ct Raleigh NC 27609-7327
Phone: (919) 876-2010
Fax: (919) 954-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0000-23783 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 000023783 North Carolina

Profile Details

NPI number 1386644557
LBN Legal business name Stirman, Jerry Archibald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 14th, 2009 - 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 1386644557 NPPES
North Carolina MEDICAID 8980094

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