Willingham, Thomas Albert

Willingham, Thomas Albert is an individual health care provider with primary practice located at 4161 Tamiami Trl Ste 304D , Port Charlotte FL 33952-9254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Willingham, Thomas Albert can be contacted via phone (941) 625-5895.

Contact Information

Primary practice address
4161 Tamiami Trl Ste 304D Port Charlotte FL 33952-9254
Phone: (941) 625-5895
Fax: (941) 625-1047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0076479 Florida

Profile Details

NPI number 1285678805
LBN Legal business name Willingham, Thomas Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 12th, 2022 - about 2 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 1285678805 NPPES
Florida Other 1216704 AETNA
Florida Other 138134 AETNA
Florida Other 1962626 AETNA
Florida Other 23784 AETNA
Florida Other 3108154 AETNA
Florida Other 611036400 AETNA
Florida Other 240681000 AETNA
Florida Other 107738 AETNA
Florida Other P2860549 AETNA

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