Jefferson, Thomas T
Jefferson, Thomas T is an individual health care provider with primary practice located at 1100 N University Ave Ste 200 , Little Rock AR 72207-6360. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Jefferson, Thomas T can be contacted via phone (888) 710-8220.Contact Information
Primary practice address
1100 N University Ave Ste 200
Little Rock AR 72207-6360
Phone: (888) 710-8220
Fax: (866) 573-0761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C4604 | Arkansas |
Profile Details
| NPI number | 1790891448 |
|---|---|
| LBN Legal business name | Jefferson, Thomas T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | May 26th, 2023 - 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 | 1790891448 | NPPES |
| Arkansas | MEDICAID | 104422001 |
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