Thompson, Jeffery Dean

Thompson, Jeffery Dean is an individual health care provider with primary practice located at 5901 Sun Blvd Suite 113, St Petersburg FL 33715-1166. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thompson, Jeffery Dean can be contacted via phone (727) 867-7910.

Contact Information

Primary practice address
5901 Sun Blvd Suite 113 St Petersburg FL 33715-1166
Phone: (727) 867-7910
Fax: (727) 867-6379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2396 Pennsylvania

Profile Details

NPI number 1386627255
LBN Legal business name Thompson, Jeffery Dean
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386627255 NPPES
Florida MEDICAID 291360700

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