Cundiff, Thomas Jackson
Cundiff, Thomas Jackson is an individual health care provider with primary practice located at 125 Akers Farm Rd Ste B , Christiansburg VA 24073-4867. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cundiff, Thomas Jackson can be contacted via phone (540) 773-2656.Contact Information
Primary practice address
125 Akers Farm Rd Ste B
Christiansburg VA 24073-4867
Phone: (540) 773-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305003161 | Virginia |
Profile Details
| NPI number | 1568492189 |
|---|---|
| LBN Legal business name | Cundiff, Thomas Jackson |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 27th, 2021 - about 5 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 | 1568492189 | NPPES |
| Virginia | Other | 101298083 | VIRGINIA PREMIER |
| Virginia | Other | P00327765 | VIRGINIA PREMIER |
| Virginia | Other | 650020272 | VIRGINIA PREMIER |
| Virginia | Other | 5393074 | VIRGINIA PREMIER |
| Virginia | MEDICAID | 010298083 | VIRGINIA PREMIER |
| Virginia | Other | 266732 | VIRGINIA PREMIER |
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