Stigall, Thomas

Stigall, Thomas is an individual health care provider with primary practice located at 100 Gray St , Elizabethtown KY 42701-2608. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stigall, Thomas can be contacted via phone (270) 769-1304.

Contact Information

Primary practice address
100 Gray St Elizabethtown KY 42701-2608
Phone: (270) 769-1304
Fax: (270) 234-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1460 Kentucky

Profile Details

NPI number 1619914561
LBN Legal business name Stigall, Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1619914561 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 11574936

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