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Contact Information

NORTH STAR PATHOLOGY PLLC
618 S MAIN ST
REIDSVILLE, NC27320-5020
 Phone: 336-951-4551
 Fax: 336-951-4909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTH STAR PATHOLOGY PLLC · (Female)

NPI # 1225020944
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5900080
  • NC Medicaid 89011VC
  • Other CJ7179 RAILROAD MEDICARE
  • NC Other 0178X BCBS OF NC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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