Thompson, Colby
Thompson, Colby is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Thompson, Colby can be contacted via phone (479) 636-0200.Contact Information
Primary practice address
2710 S Rife Medical Ln
Rogers AR 72758-1452
Phone: (479) 636-0200
Fax: (479) 986-3448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 201953 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 201953 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 213429 | Arkansas |
Profile Details
| NPI number | 1982277505 |
|---|---|
| LBN Legal business name | Thompson, Colby |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2021 |
| Last updated | Oct 12th, 2022 - 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 | 1982277505 | NPPES |
| Oklahoma | MEDICAID | 201001900A |
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