National Provider Identifier Database

WINSTON SALEM STATE UNIVERSITY
Student Health


Contact Information

WINSTON-SALEM STATE UNIVERSITY
1250 S MLK JR DR
WINSTON-SALEM, NC27107-1370
Phone: 336-750-2597
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for WINSTON-SALEM STATE UNIVERSITY

NPI Number 1144649948
Legal business name
LBN
WINSTON-SALEM STATE UNIVERSITY
Authorized official IAN MUSHINSKI - (HEAD ATHLETIC TRAINER)
Entity Organization
Organization subpart No
Enumeration date 04/09/2014
Last updated 04/09/2014 - About 12 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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