Thomas, Leyland Arthur

Thomas, Leyland Arthur is an individual health care provider with primary practice located at 2166 Madison Ave , Granite City IL 62040-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thomas, Leyland Arthur can be contacted via phone (618) 452-3301.

Contact Information

Primary practice address
2166 Madison Ave Granite City IL 62040-4700
Fax: (618) 452-3312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036084658 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036048 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036084658 Illinois

Profile Details

NPI number 1922068121
LBN Legal business name Thomas, Leyland Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 18th, 2014 - about 10 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 1922068121 NPPES
Missouri Other 135939 BCBS OF MISSOURI
Missouri Other 0097200550 BCBS OF MISSOURI
Missouri MEDICAID 203425913 BCBS OF MISSOURI

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