Thompson, Elisa J.
Thompson, Elisa J. is an individual health care provider with primary practice located at 120 Medical Blvd Ste 103 , Spring Hill FL 34609-0221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thompson, Elisa J. can be contacted via phone (352) 340-2115.Contact Information
Primary practice address
120 Medical Blvd Ste 103
Spring Hill FL 34609-0221
Phone: (352) 340-2115
Fax: (352) 340-2116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16013 | Maine |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME125969 | Florida |
Profile Details
| NPI number | 1255375689 |
|---|---|
| LBN Legal business name | Thompson, Elisa J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jan 16th, 2024 - about last year |
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 | 1255375689 | NPPES |
| Maine | Other | P00245819 | RAILROAD MEDICARE |
| Maine | MEDICAID | 255720099 | RAILROAD MEDICARE |
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