Mertesdorf, James M.
Mertesdorf, James M. is an individual health care provider with primary practice located at 1515 Doctors Cir Hanover Medical Specialists, Wilmington NC 28401-7403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mertesdorf, James M. can be contacted via phone (910) 763-1219.Contact Information
Primary practice address
1515 Doctors Cir Hanover Medical Specialists
Wilmington NC 28401-7403
Phone: (910) 763-1219
Fax: (910) 763-0291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 27826 | North Carolina |
Profile Details
| NPI number | 1891789756 |
|---|---|
| LBN Legal business name | Mertesdorf, James M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Nov 29th, 2007 - about 19 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 | 1891789756 | NPPES |
| North Carolina | MEDICAID | 8958702 |
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