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
Fax: (910) 763-0291
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891789756 NPPES
North Carolina MEDICAID 8958702

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