Threadgill, Stephen Todd
Threadgill, Stephen Todd is an individual health care provider with primary practice located at 1208 Office Park Dr , Oxford MS 38655-3597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Threadgill, Stephen Todd can be contacted via phone (662) 234-9888.Contact Information
Primary practice address
1208 Office Park Dr
Oxford MS 38655-3597
Phone: (662) 234-9888
Fax: (662) 281-8927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 11791 | Mississippi |
Profile Details
| NPI number | 1225046543 |
|---|---|
| LBN Legal business name | Threadgill, Stephen Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Mar 26th, 2018 - about 7 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 | 1225046543 | NPPES |
| Mississippi | MEDICAID | 00112961 |
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