Altheimer, Michael David
Altheimer, Michael David is an sole proprietor health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-3839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Altheimer, Michael David can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-3839
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 29888 | North Carolina |
Profile Details
| NPI number | 1053423434 |
|---|---|
| LBN Legal business name | Altheimer, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 30th, 2019 - about 6 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 | 1053423434 | NPPES |
| North Carolina | Other | 10974 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 3300353 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8910974 | BLUE CROSS BLUE SHIELD |
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