Thornton, Heath Crumpler

Thornton, Heath Crumpler is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thornton, Heath Crumpler can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-0071
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2003-00418 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200300418 North Carolina

Profile Details

NPI number 1942284450
LBN Legal business name Thornton, Heath Crumpler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 24th, 2019 - about 6 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 1942284450 NPPES
North Carolina MEDICAID 89137G8
North Carolina MEDICAID Q0041E
North Carolina Other 7961630
North Carolina Other D6223
North Carolina Other 137G8
North Carolina Other 807292

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