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NORTHWEST NEUROLOGY PLLC NPI 1235554502


NPI Information

NPI: 1235554502
Provider Name: NORTHWEST NEUROLOGY, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1520 MEADOWVIEW DR
WILKESBORO, NC
ZIP 28697
Phone: (336) 838-7111
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NORTHWEST NEUROLOGY, PLLC is a neurology psychiatry neurology in Wilkesboro, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NORTHWEST NEUROLOGY, PLLC NPI is 1235554502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 MEADOWVIEW DR
WILKESBORO, NC
ZIP 28697-348
Phone: (336) 838-7111
Fax: (336) 838-4299

The provider's authorized official is David Martin Seales .
The authorized official title is Neurologist and has the following contact phone number (336) 838-7111.

The enumeration date for this NPI number is 2/24/2014 and was last updated on 2/24/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology35748NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11952393605OTHERNORTH CAROLINAINDIVIDUAL NPI
22173867OTHERNC MEDICARE PTAN

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: 5/5/2024

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