West, Thaddeus C

West, Thaddeus C is an individual health care provider with primary practice located at 2400 Wayne Memorial Drive Suite I, Goldsboro NC 27534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. West, Thaddeus C can be contacted via phone (919) 739-9060.

Contact Information

Primary practice address
2400 Wayne Memorial Drive Suite I Goldsboro NC 27534
Fax: (919) 739-9099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9600773 North Carolina

Profile Details

NPI number 1932169034
LBN Legal business name West, Thaddeus C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 21st, 2021 - about 4 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 1932169034 NPPES
North Carolina MEDICAID 891087K

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