Headlee, Thomas S

Headlee, Thomas S is an individual health care provider with primary practice located at 1500 N Wilmot Rd Suite A220, Tucson AZ 85712-4416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Headlee, Thomas S can be contacted via phone (520) 258-4145.

Contact Information

Primary practice address
1500 N Wilmot Rd Suite A220 Tucson AZ 85712-4416
Fax: (520) 258-4147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26532 Arizona

Profile Details

NPI number 1194711630
LBN Legal business name Headlee, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 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 1194711630 NPPES
Arizona MEDICAID 454562

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