Individual
JODI SHAINBERG
Active
Individual
JODI SHAINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9501092
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9501092
NC
208D00000X
General Practice Physician
9501092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76010
BLUE CROSS
NC
05
—
8976010
—
NC
Enumeration date
05/23/2006
Last updated
07/06/2012
Update your record
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