Gullatt, Thomas James
Gullatt, Thomas James is an individual health care provider with primary practice located at 309 Jackson St , Monroe LA 71201-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gullatt, Thomas James can be contacted via phone (318) 966-4541.Contact Information
Primary practice address
309 Jackson St
Monroe LA 71201-7407
Phone: (318) 966-4541
Fax: (319) 966-4543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.017828 | Louisiana |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 17828 | Louisiana |
Profile Details
NPI number | 1154487627 |
---|---|
LBN Legal business name | Gullatt, Thomas James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2006 |
Last updated | Aug 8th, 2022 - about 2 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 | 1154487627 | NPPES |
Mississippi | MEDICAID | 09333871 | |
Mississippi | MEDICAID | 1384810 |
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