Deterding, James Leroy

Deterding, James Leroy is an individual health care provider with primary practice located at 1301 Central Dr , Sanford NC 27330-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Deterding, James Leroy can be contacted via phone (919) 718-9512.

Contact Information

Primary practice address
1301 Central Dr Sanford NC 27330-4159
Phone: (919) 718-9512
Fax: (919) 718-9516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 26650 North Carolina

Profile Details

NPI number 1396785994
LBN Legal business name Deterding, James Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 5th, 2024 - about 2 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 1396785994 NPPES
North Carolina Other 56-1274347 TAX ID # CAROLINA KIDNEY
North Carolina Other 28365 TAX ID # CAROLINA KIDNEY
North Carolina Other 2491 TAX ID # CAROLINA KIDNEY
North Carolina Other 390004557 TAX ID # CAROLINA KIDNEY
North Carolina Other 3100127 TAX ID # CAROLINA KIDNEY
North Carolina MEDICAID 8928365 TAX ID # CAROLINA KIDNEY

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