Anton, Michael Thomas

Anton, Michael Thomas is an individual health care provider with primary practice located at 700 W Forest Ave Ste 200 , Jackson TN 38301-3940. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anton, Michael Thomas can be contacted via phone (731) 541-9490.

Contact Information

Primary practice address
700 W Forest Ave Ste 200 Jackson TN 38301-3940
Phone: (731) 541-9490
Fax: (731) 541-9486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1273 Tennessee

Profile Details

NPI number 1578669198
LBN Legal business name Anton, Michael Thomas
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 21st, 2022 - 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 1578669198 NPPES
Tennessee MEDICAID 3681371
Tennessee Other 4182427
Tennessee Other 700007375

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