Hillis, Thomas Michael
Hillis, Thomas Michael is an sole proprietor health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hillis, Thomas Michael can be contacted via phone (479) 314-6248.Contact Information
Primary practice address
7301 Rogers Ave
Fort Smith AR 72903-4100
Phone: (479) 314-6248
Fax: (479) 314-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3068 | Arkansas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E-3068 | Arkansas |
Profile Details
| NPI number | 1053381335 |
|---|---|
| LBN Legal business name | Hillis, Thomas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Apr 5th, 2017 - about 8 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 | 1053381335 | NPPES |
| Arkansas | Other | 5M029 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | P00011418 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 0790780001 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 521328 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 020407900 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | XX12984 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 0062731 | BLUECROSSBLUESHIELD ARK |
| Arkansas | MEDICAID | 145380001 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 2231992 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 02110033600 | BLUECROSSBLUESHIELD ARK |
| Arkansas | Other | 7890433 | BLUECROSSBLUESHIELD ARK |
Popular Providers
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