Individual
DR. ERIC SHERWOOD NEIJSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 S VAN BUREN RD, EDEN, NC 27288-5019
(336) 623-9713
(336) 623-1031
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 623-9713
(336) 623-1031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23630
NC
207RX0202X
Medical Oncology Physician
Primary
23630
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28621
MEDCOST
NC
01
—
4318942
AETNA
NC
01
—
4915
PARTNERS MEDICARE
NC
01
—
62064
BCBS NC
NC
05
—
8962064
—
NC
Enumeration date
05/18/2006
Last updated
10/25/2020
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