Jenike, Thomas Edward

Jenike, Thomas Edward is an individual health care provider with primary practice located at 106 Langtree Village Dr Ste 200 , Mooresville NC 28117-7594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jenike, Thomas Edward can be contacted via phone (704) 384-7101.

Contact Information

Primary practice address
106 Langtree Village Dr Ste 200 Mooresville NC 28117-7594
Fax: (704) 384-7101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9601351 North Carolina

Profile Details

NPI number 1417937368
LBN Legal business name Jenike, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Apr 27th, 2023 - about 3 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 1417937368 NPPES
North Carolina MEDICAID 8911472

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