1841528338 NPI number — DR. JOHN IRVING WURZELMANN M.D.. MPH

Table of content: DR. JOHN IRVING WURZELMANN M.D.. MPH (NPI 1841528338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841528338 NPI number — DR. JOHN IRVING WURZELMANN M.D.. MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WURZELMANN
Provider First Name:
JOHN
Provider Middle Name:
IRVING
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.. MPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841528338
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 BASSWOOD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27514-1610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-967-5331
Provider Business Mailing Address Fax Number:
704-625-9480

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 BASSWOOD CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-1610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-967-5331
Provider Business Practice Location Address Fax Number:
704-625-9480
Provider Enumeration Date:
11/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  33582 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 33582 . This is a "NORTH CAROLINA MEDICAL LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".