Tate, Thomas Dale

Tate, Thomas Dale is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tate, Thomas Dale can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29804 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 29804 North Carolina

Profile Details

NPI number 1316942527
LBN Legal business name Tate, Thomas Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 16th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316942527 NPPES
North Carolina Other 81658 BCBS
North Carolina Other B4136 BCBS
North Carolina Other 080125891 BCBS
North Carolina Other 01-28815 BCBS

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