Provider Demographics
NPI:1831157882
Name:INGLEFIELD, JOSEPH THACHER III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:THACHER
Last Name:INGLEFIELD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 18TH STREET CIR SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1361
Mailing Address - Country:US
Mailing Address - Phone:828-322-1275
Mailing Address - Fax:828-315-9941
Practice Address - Street 1:220 18TH STREET CIR SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1361
Practice Address - Country:US
Practice Address - Phone:828-322-1275
Practice Address - Fax:828-315-9941
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31538207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8945248Medicaid
NCC17298Medicare UPIN
NC204211AMedicare ID - Type Unspecified