Green, Thomas W
Green, Thomas W is an individual health care provider with primary practice located at 364 White Oak St , Asheboro NC 27203-5434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Green, Thomas W can be contacted via phone (336) 633-7723.Contact Information
Primary practice address
364 White Oak St
Asheboro NC 27203-5434
Phone: (336) 633-7723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01081769A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200101209 | North Carolina |
Profile Details
| NPI number | 1700855244 |
|---|---|
| LBN Legal business name | Green, Thomas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 22nd, 2019 - 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 | 1700855244 | NPPES |
| North Carolina | Other | 1296T | BCBS |
| North Carolina | Other | 110229431 | BCBS |
| North Carolina | MEDICAID | 891296T | BCBS |
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