Thill, Jeffrey R

Thill, Jeffrey R is an individual health care provider with primary practice located at 808 Highway 466 , Lady Lake FL 32159-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thill, Jeffrey R can be contacted via phone (352) 751-0040.

Contact Information

Primary practice address
808 Highway 466 Lady Lake FL 32159-3918
Phone: (352) 751-0040
Fax: (352) 751-2825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME55997 Florida

Profile Details

NPI number 1790771574
LBN Legal business name Thill, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 29th, 2020 - about 4 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 1790771574 NPPES
Florida MEDICAID 3726347-00

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