Brous-Distefano, Nancy

Brous-Distefano, Nancy is an individual health care provider with primary practice located at 1380 Cowell Farm Rd , Washington NC 27889-3431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brous-Distefano, Nancy can be contacted via phone (252) 946-2101.

Contact Information

Primary practice address
1380 Cowell Farm Rd Washington NC 27889-3431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200301208 North Carolina

Profile Details

NPI number 1508821315
LBN Legal business name Brous-Distefano, Nancy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Apr 26th, 2022 - about 3 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 1508821315 NPPES
North Carolina Other 1508821315 NPI

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