Thomas, Jeff C.C.

Thomas, Jeff C.C. is an individual health care provider with primary practice located at 2201 W Sudbury Dr Suite C, Bloomington IN 47403-3812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Thomas, Jeff C.C. can be contacted via phone (812) 333-1933.

Contact Information

Primary practice address
2201 W Sudbury Dr Suite C Bloomington IN 47403-3812
Phone: (812) 333-1933
Fax: (812) 333-3991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01048577A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01048577A Indiana

Profile Details

NPI number 1881621605
LBN Legal business name Thomas, Jeff C.C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 2nd, 2011 - about 13 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 1881621605 NPPES
Indiana MEDICAID 200184760

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