Bernthal, Theodore George

Bernthal, Theodore George is an individual health care provider with primary practice located at 404 Westwood Ave Ste 103, High Point NC 27262-4315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bernthal, Theodore George can be contacted via phone (336) 889-6564.

Contact Information

Primary practice address
404 Westwood Ave Ste 103 High Point NC 27262-4315
Phone: (336) 889-6564
Fax: (336) 889-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21249 North Carolina

Profile Details

NPI number 1386708238
LBN Legal business name Bernthal, Theodore George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1386708238 NPPES
North Carolina MEDICAID 8915176

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