Thompson, Willard Chandler
Thompson, Willard Chandler is an sole proprietor health care provider with primary practice located at 721 Grove St , Salisbury NC 28144-3339. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thompson, Willard Chandler can be contacted via phone (704) 633-2732.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 30103 | North Carolina |
Profile Details
| NPI number | 1255327110 |
|---|---|
| LBN Legal business name | Thompson, Willard Chandler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Oct 17th, 2008 - about 17 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 | 1255327110 | NPPES |
| North Carolina | Other | 83199 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8983199 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 30103 | BLUE CROSS BLUE SHIELD |
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