Thomas, William R.
Thomas, William R. is an sole proprietor health care provider with primary practice located at 7712 Old Canton Rd Suite A, Madison MS 39110-9299. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thomas, William R. can be contacted via phone (601) 898-1828.Contact Information
Primary practice address
7712 Old Canton Rd Suite A
Madison MS 39110-9299
Phone: (601) 898-1828
Fax: (601) 326-3645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1151 | Mississippi |
Profile Details
| NPI number | 1295731685 |
|---|---|
| LBN Legal business name | Thomas, William R. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 4th, 2013 - about 11 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 | 1295731685 | NPPES |
| Mississippi | Other | 650020488 | MEDICARE RAILROAD |
| Mississippi | MEDICAID | 00120315 | MEDICARE RAILROAD |
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