Thompson, Andrea L
Thompson, Andrea L is an individual health care provider with primary practice located at 1444 E Stearns St Ste 11 , Fayetteville AR 72703-6243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thompson, Andrea L can be contacted via phone (479) 718-7546.Contact Information
Primary practice address
1444 E Stearns St Ste 11
Fayetteville AR 72703-6243
Phone: (479) 718-7546
Fax: (479) 966-4979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001125 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-412 | Arkansas |
Profile Details
| NPI number | 1508861865 |
|---|---|
| LBN Legal business name | Thompson, Andrea L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Aug 29th, 2012 - about 12 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 | 1508861865 | NPPES |
| Arkansas | Other | 5F922P253 | MEDICARE PA PTAN |
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