Thompson, Robert Fulton

Thompson, Robert Fulton is an individual health care provider with primary practice located at 830 South Gloster Street , Tupelo MS 38801. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Thompson, Robert Fulton can be contacted via phone (662) 377-4394.

Contact Information

Primary practice address
830 South Gloster Street Tupelo MS 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11790 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 11790 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11790 Mississippi

Profile Details

NPI number 1134154339
LBN Legal business name Thompson, Robert Fulton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 6th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134154339 NPPES
Mississippi MEDICAID 00112860

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