Smith, Thomas J
Smith, Thomas J is an sole proprietor health care provider with primary practice located at 803 Rena St , Kirksville MO 63501-2012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Smith, Thomas J can be contacted via phone (660) 342-5295.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2019045891 | Missouri |
Profile Details
| NPI number | 1417566142 |
|---|---|
| LBN Legal business name | Smith, Thomas J |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2020 |
| Last updated | Jul 28th, 2020 - about 5 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 | 1417566142 | NPPES |
| Missouri | Other | 2019045891 | MISSOURI STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE |
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