Small, Thomas James
Small, Thomas James is an sole proprietor health care provider with primary practice located at 1101 W Jefferson St Ste H, Franklin IN 46131-2184. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Small, Thomas James can be contacted via phone (317) 736-9655.Contact Information
Primary practice address
1101 W Jefferson St Ste H
Franklin IN 46131-2184
Phone: (317) 736-9655
Fax: (317) 738-0922
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 0102451A | Indiana |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01025451A | Indiana |
Other Service Providers / Specialist | 174400000X | 25451 | Indiana |
Profile Details
NPI number | 1720083082 |
---|---|
LBN Legal business name | Small, Thomas James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2005 |
Last updated | Sep 27th, 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 | 1720083082 | NPPES |
Indiana | MEDICAID | 100154600A |
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