Ainsley, Thellie Rupert
Ainsley, Thellie Rupert is an individual health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ainsley, Thellie Rupert can be contacted via phone (910) 715-2164.Contact Information
Primary practice address
155 Memorial Dr
Pinehurst NC 28374-8710
Phone: (910) 715-2164
Fax: (910) 715-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25545 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25545 | North Carolina |
Profile Details
| NPI number | 1548381924 |
|---|---|
| LBN Legal business name | Ainsley, Thellie Rupert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Apr 16th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548381924 | NPPES |
| North Carolina | Other | 110199352 | PALMETTO GBA RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8910451 | PALMETTO GBA RAILROAD MEDICARE |
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