Thomas, Jerill
Thomas, Jerill is an individual health care provider with primary practice located at 850 5Th Ave E , Tuscaloosa AL 35401-7419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thomas, Jerill can be contacted via phone (205) 348-1770.Contact Information
Primary practice address
850 5Th Ave E
Tuscaloosa AL 35401-7419
Phone: (205) 348-1770
Fax: (205) 348-5145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22507 | Alabama |
Profile Details
| NPI number | 1063483378 |
|---|---|
| LBN Legal business name | Thomas, Jerill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1063483378 | NPPES |
| Alabama | MEDICAID | 009981485 |
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