Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2006-00475 | NC |
N | 207QA0401X | Family Doctor - Addiction Medicine | 206-00475 | NC |
NPI | 1073611091 |
---|---|
Provider Name | Stephen William North |
First Address | Charlotte, NC 28260-2373 |
Second Address | Spruce Pine, NC 28777-8954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 17/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00513 | BCBS (01) | NC |
0081P | BCBS SWINGBED (01) | NC |
014MX | BCBS LABS (01) | NC |
07673 | BCBS PHYSICIAN (01) | NC |
235013 | MEDICARE PHYSICIAN (01) | NC |
235013B | MEDICARE PHYSICIAN (01) | NC |
3400011 | MEDCAID (01) | NC |
34U011 | MEDICARE SWINGBED (01) | NC |
411013849 | MEDICARE RAILROAD (01) | NC |
8907673 | MEDCAID PHYSICIAN (01) | NC |
I12886 | (02) |