Fox Thompson, Katie M
Fox Thompson, Katie M is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200-250 , Gilbert AZ 85234-2168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fox Thompson, Katie M can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
2940 E Banner Gateway Dr Ste 200-250
Gilbert AZ 85234-2168
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106053 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3353 | Arizona |
Profile Details
NPI number | 1871562835 |
---|---|
LBN Legal business name | Fox Thompson, Katie M |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Nov 17th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871562835 | NPPES |
Florida | MEDICAID | 106823400 | |
Florida | Other | Y0AW1 | |
Florida | Other | FV664X |
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