Wilshire, Larry Brent

Wilshire, Larry Brent is an individual health care provider with primary practice located at 6 Office Park Dr , Jacksonville NC 28546-7325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilshire, Larry Brent can be contacted via phone (910) 355-3937.

Contact Information

Primary practice address
6 Office Park Dr Jacksonville NC 28546-7325
Phone: (910) 355-3937
Fax: (910) 347-6663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27869 North Carolina

Profile Details

NPI number 1326065848
LBN Legal business name Wilshire, Larry Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 27th, 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 1326065848 NPPES
North Carolina MEDICAID 8988165
North Carolina Other 88165

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