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RISING INTEGRATIVE HEALTHCARE OF WILMINGTON PLLC NPI 1033776323


NPI Information

NPI: 1033776323
Provider Name: RISING INTEGRATIVE HEALTHCARE OF WILMINGTON, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 34D2268671

Address:
5 SILVA TERRA DR STE 100
WILMINGTON, NC
ZIP 28412
Phone: (910) 530-3031
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RISING INTEGRATIVE HEALTHCARE OF WILMINGTON, PLLC is a general practice in Wilmington, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RISING INTEGRATIVE HEALTHCARE OF WILMINGTON, PLLC NPI is 1033776323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 SILVA TERRA DR STE 100
WILMINGTON, NC
ZIP 28412-373
Phone: (910) 530-3031

The provider's authorized official is Brian M Kean .
The authorized official title is Authorized Official and has the following contact phone number (910) 530-3031.

The CLIA number assigned to this NPI record is 34D2268671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2019 and was last updated on 7/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208100000XPhysical Medicine & RehabilitationNo
3208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200301497OTHERNORTH CAROLINANC MEDICAL BOARD LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.