Thill, Jeffrey R
Thill, Jeffrey R is an individual health care provider with primary practice located at 808 Highway 466 , Lady Lake FL 32159-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thill, Jeffrey R can be contacted via phone (352) 751-0040.Contact Information
Primary practice address
808 Highway 466
Lady Lake FL 32159-3918
Phone: (352) 751-0040
Fax: (352) 751-2825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME55997 | Florida |
Profile Details
| NPI number | 1790771574 |
|---|---|
| LBN Legal business name | Thill, Jeffrey R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jun 29th, 2020 - about 6 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 | 1790771574 | NPPES |
| Florida | MEDICAID | 3726347-00 |
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