Thames, Amilie T
Thames, Amilie T is an sole proprietor health care provider with primary practice located at 1110 Broad Ave Ste 700 , Gulfport MS 39501-8908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thames, Amilie T can be contacted via phone (228) 864-0314.Contact Information
Primary practice address
1110 Broad Ave Ste 700
Gulfport MS 39501-8908
Phone: (228) 864-0314
Fax: (228) 868-8435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21067 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16575 | Mississippi |
Profile Details
| NPI number | 1851304026 |
|---|---|
| LBN Legal business name | Thames, Amilie T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Nov 10th, 2021 - about 3 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 | 1851304026 | NPPES |
| Alabama | MEDICAID | 630000013 | |
| Alabama | Other | 011846 | |
| Alabama | Other | 1063439065 |
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