Individual
MRS. CHRISTIE ISENHOUR WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
744 AIRPORT RD, KINSTON, NC 28504-8800
(252) 523-0026
(252) 523-1855
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6740
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01960
BCBS GROUP NUMBER
NC
01
—
0326
MEDICARE GROUP NUMBER
NC
01
—
1467405431
GROUP NPI NUMBER
NC
01
—
560989277
GROUP TAX ID
—
01
—
5908296
EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE
NC
05
—
8102517
—
NC
01
—
8901960
EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR KINSTON
NC
Enumeration date
09/27/2005
Last updated
10/13/2014
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