1306985643 NPI number — MS. EDITH LOSEY WIGMAN PHYSICIAN ASSISTANT

Table of content: MS. EDITH LOSEY WIGMAN PHYSICIAN ASSISTANT (NPI 1306985643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306985643 NPI number — MS. EDITH LOSEY WIGMAN PHYSICIAN ASSISTANT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WIGMAN
Provider First Name:
EDITH
Provider Middle Name:
LOSEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICIAN ASSISTANT
Provider Gender Code:
F

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:
1306985643
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1987 BANKS SCHOOL ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINSTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-520-2069
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2415 W VERNON AVENUE
Provider Second Line Business Practice Location Address:
CASWELL CENTER
Provider Business Practice Location Address City Name:
KINSTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-208-4066
Provider Business Practice Location Address Fax Number:
252-208-4035
Provider Enumeration Date:
02/05/2007

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: 363AM0700X , with the licence number:  101945 , 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: 3406105 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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