National Provider Identifier Database

WILMINGTON HEALTH ACCESS FOR TEENS INC
Adolescent Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.


Contact Information

WILMINGTON HEALTH ACCESS FOR TEENS, INC
4005 OLEANDER DR
WILMINGTON, NC28403-6816
Phone: 910-790-9949
Fax: 910-790-9455
Website:
Specialty Taxonomy Code
* Adolescent Medicine 207QA0000X

* Indicates primary specialty

NPI Profile & details for WILMINGTON HEALTH ACCESS FOR TEENS, INC

NPI Number 1841460755
Legal business name
LBN
WILMINGTON HEALTH ACCESS FOR TEENS, INC
Authorized official MARIA VAN DE BOVENKAMP - (DIRECTOR OF ADMINISTRATION)
Entity Organization
Organization subpart Yes
Enumeration date 03/06/2008
Last updated 10/28/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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