Thompson, Willard Ray

Thompson, Willard Ray is an individual health care provider with primary practice located at 530 Corporate Cir , Salisbury NC 28147-8074. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Thompson, Willard Ray can be contacted via phone (704) 637-0158.

Contact Information

Primary practice address
530 Corporate Cir Salisbury NC 28147-8074
Phone: (704) 637-0158
Fax: (704) 637-7710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17741 North Carolina
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 17741 North Carolina

Profile Details

NPI number 1659367449
LBN Legal business name Thompson, Willard Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 17th, 2014 - about 12 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 1659367449 NPPES
North Carolina Other 02606 BCBS PROVIDER ID
North Carolina Other 4412228 BCBS PROVIDER ID
North Carolina Other 30158896 BCBS PROVIDER ID
North Carolina Other P01259200 BCBS PROVIDER ID
North Carolina MEDICAID Q17741 BCBS PROVIDER ID
North Carolina Other 83198 BCBS PROVIDER ID
North Carolina MEDICAID 8902606 BCBS PROVIDER ID

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