Thompson, Willard Ray
Thompson, Willard Ray is an individual health care provider with primary practice located at 530 Corporate Cir , Salisbury NC 28147-8074. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Thompson, Willard Ray can be contacted via phone (704) 637-0158.Contact Information
Primary practice address
530 Corporate Cir
Salisbury NC 28147-8074
Phone: (704) 637-0158
Fax: (704) 637-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17741 | North Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 17741 | North Carolina |
Profile Details
| NPI number | 1659367449 |
|---|---|
| LBN Legal business name | Thompson, Willard Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 17th, 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 | 1659367449 | NPPES |
| North Carolina | Other | 02606 | BCBS PROVIDER ID |
| North Carolina | Other | 4412228 | BCBS PROVIDER ID |
| North Carolina | Other | 30158896 | BCBS PROVIDER ID |
| North Carolina | Other | P01259200 | BCBS PROVIDER ID |
| North Carolina | MEDICAID | Q17741 | BCBS PROVIDER ID |
| North Carolina | Other | 83198 | BCBS PROVIDER ID |
| North Carolina | MEDICAID | 8902606 | BCBS PROVIDER ID |
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