Daniel, Elizabeth Thompson
Daniel, Elizabeth Thompson is an individual health care provider with primary practice located at 2601A Demere Rd , St Simons Island GA 31522-1614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Daniel, Elizabeth Thompson can be contacted via phone (912) 634-9945.Contact Information
Primary practice address
2601A Demere Rd
St Simons Island GA 31522-1614
Phone: (912) 634-9945
Fax: (912) 638-1584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT001496 | Georgia |
Profile Details
| NPI number | 1639269574 |
|---|---|
| LBN Legal business name | Daniel, Elizabeth Thompson |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Mar 19th, 2014 - about 12 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 | 1639269574 | NPPES |
| Georgia | MEDICAID | 589630550A |
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