Stephen Brian Irvin
Family Doctor General Practice Physician
1050 Jabarrah Ave
Seymour Johnson A F B
, North Carolina 27531-2310
Stephen Brian Irvin
Family Doctor General Practice Physician
1050 Jabarrah Ave
Seymour Johnson A F B
, North Carolina 27531-2310
(919) 722-1956
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Stephen Brian Irvin
- 1050 Jabarrah Ave
- Seymour Johnson A F B, NC
- Zip : 27531-2310
- Fax : (919) 722-1956
- Phone : (919) 722-1580
Second Address
- Stephen Brian Irvin
- 1050 Jabarrah Ave
- Seymour Johnson A F B, NC
- Zip : 27531-2310
- Fax : (919) 722-1956
- Phone : (919) 722-1580
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 200001493 | NC |
| N | 208D00000X | General Practice Physician | 200001493 | NC |
National Provider Identifier
| NPI | 1053316562 |
|---|---|
| Provider Name | Stephen Brian Irvin |
| First Address | Seymour Johnson A F B, NC 27531-2310 |
| Second Address | Seymour Johnson A F B, NC 27531-2310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 24/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 128N0 | BCBS (01) | NC |
| B09160 | (02) | NC |
| D9807 | MEDCOST (01) | NC |
| P00451050 | RAILROAD MEDICARE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.