Jones, Thomas Elias Blair

Jones, Thomas Elias Blair is an sole proprietor health care provider with primary practice located at 128 Highway 71 N , De Queen AR 71832-3706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Thomas Elias Blair can be contacted via phone (870) 642-8961.

Contact Information

Primary practice address
128 Highway 71 N De Queen AR 71832-3706
Fax: (870) 642-2171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0842 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19680 Oklahoma

Profile Details

NPI number 1700883402
LBN Legal business name Jones, Thomas Elias Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Dec 14th, 2011 - about 13 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 1700883402 NPPES
Arkansas Other 1125327 HIPPA CONFIRMATION NO.
Arkansas Other 5K030 HIPPA CONFIRMATION NO.
Arkansas MEDICAID 629182001 HIPPA CONFIRMATION NO.

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