Thompson, Theodore

Thompson, Theodore is an individual health care provider with primary practice located at 1220 Volunteer Pkwy , Bristol TN 37620-4628. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thompson, Theodore can be contacted via phone (423) 274-6610.

Contact Information

Primary practice address
1220 Volunteer Pkwy Bristol TN 37620-4628
Phone: (423) 274-6610
Fax: (423) 274-6619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD38948 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055839 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38948 Tennessee

Profile Details

NPI number 1144224783
LBN Legal business name Thompson, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 4th, 2014 - about 10 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 1144224783 NPPES
Tennessee MEDICAID 3327207

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