Koontz, Thomas J.

Koontz, Thomas J. is an individual health care provider with primary practice located at 2915 Lyndhurst Ave , Winston-Salem NC 27103-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Koontz, Thomas J. can be contacted via phone (336) 765-5221.

Contact Information

Primary practice address

2915 Lyndhurst Ave Winston-Salem NC 27103-4005

Phone: (336) 765-5221

Fax: (336) 765-0430

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Surgery	208600000X	15108	North Carolina

Profile Details

NPI number	1700845211
LBN Legal business name	Koontz, Thomas J.
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 22nd, 2006
Last updated	Mar 7th, 2023 - about last year

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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1700845211	NPPES
North Carolina	MEDICAID	8950063
North Carolina	Other	15108

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