Thorne, Mark T

Thorne, Mark T is an individual health care provider with primary practice located at 2933 Maplewood Ave 4, Winston-Salem NC 27103-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thorne, Mark T can be contacted via phone (336) 765-0155.

Contact Information

Primary practice address
2933 Maplewood Ave 4 Winston-Salem NC 27103-4001
Fax: (336) 765-5494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34481 North Carolina

Profile Details

NPI number 1326000613
LBN Legal business name Thorne, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326000613 NPPES
North Carolina MEDICAID 8983249

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