Thertulien, Raymond
Thertulien, Raymond is an individual health care provider with primary practice located at 125 Queens Rd Ste 610 , Charlotte NC 28204-3580. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Thertulien, Raymond can be contacted via phone (980) 302-6600.Contact Information
Primary practice address
125 Queens Rd Ste 610
Charlotte NC 28204-3580
Phone: (980) 302-6600
Fax: (980) 302-6605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007-00361 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2007-00361 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 2007-00361 | North Carolina |
Profile Details
| NPI number | 1275759581 |
|---|---|
| LBN Legal business name | Thertulien, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 11th, 2024 - about 2 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 | 1275759581 | NPPES |
| North Carolina | Other | P01028293 | RAILROAD MEDICARE |
| North Carolina | Other | 7964243 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 143705001 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 5906570 | RAILROAD MEDICARE |
| North Carolina | Other | 4510132 | RAILROAD MEDICARE |
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