Thacker, Robert K

Thacker, Robert K is an individual health care provider with primary practice located at 1510 Nc Highway 68 N , Oak Ridge NC 27310-9733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thacker, Robert K can be contacted via phone (336) 644-0111.

Contact Information

Primary practice address
1510 Nc Highway 68 N Oak Ridge NC 27310-9733
Phone: (336) 644-0111
Fax: (336) 268-3119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20635 North Carolina

Profile Details

NPI number 1306926621
LBN Legal business name Thacker, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 23rd, 2021 - about 3 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 1306926621 NPPES
North Carolina Other 82445 BCBS OF NC
North Carolina Other 31673 BCBS OF NC
North Carolina Other 6016 BCBS OF NC
North Carolina MEDICAID 7982445 BCBS OF NC

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