Futrell, Thomas Walter

Futrell, Thomas Walter is an individual health care provider with primary practice located at 907 Goose Creek Rd Suite 103, Fishersville VA 22939-2352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Futrell, Thomas Walter can be contacted via phone (540) 213-2240.

Contact Information

Primary practice address
907 Goose Creek Rd Suite 103 Fishersville VA 22939-2352
Phone: (540) 213-2240
Fax: (540) 213-2242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101058590 Virginia

Profile Details

NPI number 1194704379
LBN Legal business name Futrell, Thomas Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 26th, 2010 - about 14 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 1194704379 NPPES
Virginia Other 006500056 VA PREMIER
Virginia Other 371424479 VA PREMIER
Virginia Other 24986 VA PREMIER
Virginia Other 259524 VA PREMIER
Virginia Other 371424479 VA PREMIER
Virginia Other 040017242 VA PREMIER
Virginia Other 371424479 VA PREMIER
Virginia MEDICAID 006500056 VA PREMIER
Virginia Other 157902 VA PREMIER
Virginia Other 371424479 VA PREMIER
Virginia Other 2689876008 VA PREMIER

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