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Contact Information

ERIC R WILBUR
2929 DESERT STORM DR
FORT BRAGG, NC28310-9114
 Phone: 910-432-7001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for ERIC R WILBUR · (Male)

NPI # 1063375921
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2025
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • License # E1903424
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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