Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101050739 | VA |
NPI | 1194887307 |
---|---|
Provider Name | Shepard R. Hurwitz |
First Address | Chapel Hill, NC 27516-2539 |
Second Address | Chapel Hill, NC 27516-2539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 29/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006401716 | (05) | VA |
C61926 | (02) | VA |