Xu, Jack

Xu, Jack is an individual health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Xu, Jack can be contacted via phone (910) 715-7650.

Contact Information

Primary practice address
155 Memorial Dr Pinehurst NC 28374-8710
Phone: (910) 715-7650
Fax: (910) 715-7928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2022-01767 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-12710 Arkansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2022-01767 North Carolina

Profile Details

NPI number 1790239101
LBN Legal business name Xu, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Aug 21st, 2026 - about 3 months 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 1790239101 NPPES
North Carolina MEDICAID 1790239101

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