Thompson, Timothy Luke
Thompson, Timothy Luke is an individual health care provider with primary practice located at 1605 S 28Th Ave , Hattiesburg MS 39402-3110. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Thompson, Timothy Luke can be contacted via phone (601) 579-3310.Contact Information
Primary practice address
1605 S 28Th Ave
Hattiesburg MS 39402-3110
Phone: (601) 579-3310
Fax: (601) 264-0231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD.201055 | Louisiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21438 | Mississippi |
Profile Details
| NPI number | 1578747390 |
|---|---|
| LBN Legal business name | Thompson, Timothy Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Jul 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578747390 | NPPES |
| Mississippi | MEDICAID | 03520851 |
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