Kerner, Theodore Charles
Kerner, Theodore Charles is an individual health care provider with primary practice located at 3155 Maplewood Avenue , Winston-Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kerner, Theodore Charles can be contacted via phone (336) 794-4372.Contact Information
Primary practice address
3155 Maplewood Avenue
Winston-Salem NC 27103
Phone: (336) 794-4372
Fax: (336) 659-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 38482 | North Carolina |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 38482 | North Carolina |
Profile Details
| NPI number | 1659303642 |
|---|---|
| LBN Legal business name | Kerner, Theodore Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Sep 14th, 2016 - about 8 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 | 1659303642 | NPPES |
| North Carolina | MEDICAID | 8948556 |
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