Shiro, Brian Charles
Shiro, Brian Charles is an individual health care provider with primary practice located at 1915 S 17Th St Suite 100, Wilmington NC 28401-6681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shiro, Brian Charles can be contacted via phone (910) 362-9511.Contact Information
Primary practice address
1915 S 17Th St Suite 100
Wilmington NC 28401-6681
Phone: (910) 362-9511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 30859 | North Carolina |
Profile Details
| NPI number | 1093703175 |
|---|---|
| LBN Legal business name | Shiro, Brian Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 30th, 2008 - about 18 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 | 1093703175 | NPPES |
| North Carolina | Other | 75966 | BCBS OF NC |
| North Carolina | MEDICAID | 8975966 | BCBS OF NC |
| North Carolina | Other | 220012149 | BCBS OF NC |
| North Carolina | MEDICAID | Q30859 | BCBS OF NC |
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