Wooldridge, Thomas D

Wooldridge, Thomas D is an individual health care provider with primary practice located at 1542 Medical Park Cir , Tupelo MS 38801-6560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wooldridge, Thomas D can be contacted via phone (662) 844-4711.

Contact Information

Primary practice address
1542 Medical Park Cir Tupelo MS 38801-6560
Phone: (662) 844-4711
Fax: (662) 844-9619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 6480 Mississippi

Profile Details

NPI number 1518937044
LBN Legal business name Wooldridge, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 13th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518937044 NPPES
Mississippi Other 0010676 BLUE CROSS BLUE SHIELD
Mississippi Other 73003901 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 00016236 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 008604410 BLUE CROSS BLUE SHIELD
Mississippi Other 6480 BLUE CROSS BLUE SHIELD
Mississippi Other 390001766 BLUE CROSS BLUE SHIELD

Popular Providers