Throckmorton, John Kersey

Throckmorton, John Kersey is an individual health care provider with primary practice located at 111 E 3Rd Ave , Gastonia NC 28052-4317. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Throckmorton, John Kersey can be contacted via phone (704) 874-3300.

Contact Information

Primary practice address
111 E 3Rd Ave Gastonia NC 28052-4317
Fax: (704) 874-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 702 North Carolina

Profile Details

NPI number 1114983723
LBN Legal business name Throckmorton, John Kersey
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Aug 31st, 2023 - about last year

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 1114983723 NPPES
Other 5335346 BCBS

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