Bourne, Thomas D

Bourne, Thomas D is an individual health care provider with primary practice located at 10810 Executive Center Dr Ste 100 , Little Rock AR 72211-4386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bourne, Thomas D can be contacted via phone (501) 604-2695.

Contact Information

Primary practice address
10810 Executive Center Dr Ste 100 Little Rock AR 72211-4386
Phone: (501) 604-2695
Fax: (501) 604-2699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101241305 Virginia

Profile Details

NPI number 1346462561
LBN Legal business name Bourne, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 4th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346462561 NPPES
Virginia MEDICAID 1346462561

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