Thompson, Elizabeth Eddins

Thompson, Elizabeth Eddins is an individual health care provider with primary practice located at 630 N Main St , Williston FL 32696-1705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thompson, Elizabeth Eddins can be contacted via phone (352) 528-0587.

Contact Information

Primary practice address
630 N Main St Williston FL 32696-1705
Phone: (352) 528-0587
Fax: (352) 528-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9251565 Florida

Profile Details

NPI number 1720313950
LBN Legal business name Thompson, Elizabeth Eddins
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2009
Last updated Nov 2nd, 2011 - about 13 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 1720313950 NPPES
Florida Other ARNP9251565 STATE LICENSE
Florida Other 62987 STATE LICENSE
Florida MEDICAID 001487600 STATE LICENSE

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