Provider Demographics
NPI:1447203542
Name:EMERALD ISLE PRIMARY CARE
Entity Type:Organization
Organization Name:EMERALD ISLE PRIMARY CARE
Other - Org Name:ARTHUR H HEMMERLEIN MD PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEMMERLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-354-6500
Mailing Address - Street 1:7901 EMERALD DR
Mailing Address - Street 2:STE 7
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594
Mailing Address - Country:US
Mailing Address - Phone:252-354-6500
Mailing Address - Fax:252-354-5060
Practice Address - Street 1:7901 EMERALD DR
Practice Address - Street 2:STE 7
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594
Practice Address - Country:US
Practice Address - Phone:252-354-6500
Practice Address - Fax:252-354-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty