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Contact Information

BRENT J THEILING
2301 ERWIN RD
DUMC 3096
DURHAM, NC27710
 Phone: 919-684-5537
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRENT J THEILING · (Male)

NPI # 1891901708
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2007
Last updated 06/21/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2011-01439
  • PA License # MT188928
  • SC License # 31534
Hospital affiliation(s)
  • DUKE UNIVERSITY HOSPITAL - (Acute Care)
    PO BOX 3708 DUMC ERWIN RD
    DURHAM, NC 27710
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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