Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 29393 | NC |
NPI | 1033197173 |
---|---|
Provider Name | Stephen B Scheibner |
First Address | Statesville, NC 28625-4353 |
Second Address | Statesville, NC 28625-1916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 09/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8974824 | (05) | NC |
C81995 | (02) | NC |