Wilkins, Ezra Brooks

Wilkins, Ezra Brooks is an sole proprietor health care provider with primary practice located at 4020 Wake Forest Rd Ste 201 , Raleigh NC 27609-6866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilkins, Ezra Brooks can be contacted via phone (919) 571-6465.

Contact Information

Primary practice address
4020 Wake Forest Rd Ste 201 Raleigh NC 27609-6866
Phone: (919) 571-6465
Fax: (919) 571-6455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20220 North Carolina

Profile Details

NPI number 1578538633
LBN Legal business name Wilkins, Ezra Brooks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Mar 7th, 2023 - about last year

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 1578538633 NPPES
North Carolina Other 20220 STATE LICENSE

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