Provider Demographics
NPI:1104353887
Name:OSHRIN, JAIME (LAC)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:OSHRIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4004 OLEANDER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6853
Mailing Address - Country:US
Mailing Address - Phone:910-262-1122
Mailing Address - Fax:910-399-1448
Practice Address - Street 1:4004 OLEANDER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6853
Practice Address - Country:US
Practice Address - Phone:910-262-1122
Practice Address - Fax:910-399-1448
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCNC934171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC27-0760212OtherVETERANS' ADMINISTRATION/ HEALTH NET FEDERAL SERVICES