Cunningham, Thomas Elias

Cunningham, Thomas Elias is an individual health care provider with primary practice located at 5305 W Village Pkwy Ste 12 , Rogers AR 72758-8116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cunningham, Thomas Elias can be contacted via phone (479) 480-4892.

Contact Information

Primary practice address
5305 W Village Pkwy Ste 12 Rogers AR 72758-8116
Phone: (479) 480-4892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0057700 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A03250 Arkansas

Profile Details

NPI number 1578780946
LBN Legal business name Cunningham, Thomas Elias
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 7th, 2023 - about 3 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 1578780946 NPPES
Oklahoma MEDICAID 200109330A

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