Atkinson, Thomas W
Atkinson, Thomas W is an sole proprietor health care provider with primary practice located at 1670 E Joyce Blvd , Fayetteville AR 72703-6214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Atkinson, Thomas W can be contacted via phone (479) 582-5905.Contact Information
Primary practice address
1670 E Joyce Blvd
Fayetteville AR 72703-6214
Phone: (479) 582-5905
Fax: (479) 582-5908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | C-5953 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C-5903 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C-5953 | Arkansas |
Profile Details
| NPI number | 1861438665 |
|---|---|
| LBN Legal business name | Atkinson, Thomas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Mar 3rd, 2020 - about 5 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 | 1861438665 | NPPES |
| Arkansas | Other | 238882 | VALUE OPTIONS PROVIDER ID |
| Arkansas | MEDICAID | 110911001 | VALUE OPTIONS PROVIDER ID |
| Arkansas | Other | 13075000001 | VALUE OPTIONS PROVIDER ID |
| Arkansas | Other | 50083 | VALUE OPTIONS PROVIDER ID |
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