Staten, James R

Staten, James R is an individual health care provider with primary practice located at 500 E Lauchwood Dr , Laurinburg NC 28352-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Staten, James R can be contacted via phone (910) 291-7000.

Contact Information

Primary practice address
500 E Lauchwood Dr Laurinburg NC 28352-5501
Phone: (910) 291-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 2004-00268 North Carolina

Profile Details

NPI number 1023012622
LBN Legal business name Staten, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 11th, 2012 - about 14 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 1023012622 NPPES
North Carolina MEDICAID 89136WA

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