Winter, Jerald Luke
Winter, Jerald Luke is an individual health care provider with primary practice located at 2025 Frontis Plaza Blvd , Winston Salem NC 27103-5663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Winter, Jerald Luke can be contacted via phone (336) 768-6211.Contact Information
Primary practice address
2025 Frontis Plaza Blvd
Winston Salem NC 27103-5663
Phone: (336) 768-6211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9701660 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18811 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 18811 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 971660 | North Carolina |
Profile Details
| NPI number | 1245297316 |
|---|---|
| LBN Legal business name | Winter, Jerald Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Nov 8th, 2018 - about 7 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 | 1245297316 | NPPES |
| North Carolina | MEDICAID | 891340E |
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