Thiebaud, Eugene Henry
Thiebaud, Eugene Henry is an individual health care provider with primary practice located at Bldg 200, Robinhood Medical Plaza , Winston Salem NC 27106-5475. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Thiebaud, Eugene Henry can be contacted via phone (336) 718-7950.Contact Information
Primary practice address
Bldg 200, Robinhood Medical Plaza
Winston Salem NC 27106-5475
Phone: (336) 718-7950
Fax: (336) 718-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101957 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 000101957 | North Carolina |
Profile Details
| NPI number | 1306821269 |
|---|---|
| LBN Legal business name | Thiebaud, Eugene Henry |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Oct 14th, 2014 - about 11 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 | 1306821269 | NPPES |
| Other | 94709 | MEDCOST | |
| Other | 970025236 | MEDCOST | |
| Other | 7400798 | MEDCOST |
Popular Providers
-
Csikos, Joy Lisa
3333 Silas Creek Pkwy , Winston Salem NC 27103-3013 -
Laymon, Bradley L.
2452 Fairlawn Ct , Winston Salem NC 27106-3884 -
Minor, David Francis
3734 Reynolda Rd , Winston Salem NC 27106-2240 -
Mullane, Marilyn Kay
390 W Salem Ave , Winston Salem NC 27101-5861 -
Holthusen, Beth L.
201 Executive Park Blvd , Winston Salem NC 27103-1503 -
Clark, Debra
250 Charlois Blvd , Winston Salem NC 27103-1508 -
Edge, Kendra Dian
3333 Silas Creek Pkwy , Winston Salem NC 27103-3013 -
Mount, Martha Young
3333 Silas Creek Pkwy , Winston Salem NC 27103-3013