Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 22480 | NC |
NPI | 1083784557 |
---|---|
Provider Name | Dr. Robert Haywood Hosea |
First Address | Kinston, NC 28504-1423 |
Second Address | Kinston, NC 28501-1584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 02/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040008807 | MEDICARE RAILROAD (01) | NC |
8943940 | (05) | NC |
C84581 | (02) | NC |