Ahlstrom, Richard Thomas
Ahlstrom, Richard Thomas is an individual health care provider with primary practice located at 5979 Desert Storm Ave , Fort Campbell KY 42223-5514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ahlstrom, Richard Thomas can be contacted via phone (270) 412-9191.Contact Information
Primary practice address
5979 Desert Storm Ave
Fort Campbell KY 42223-5514
Phone: (270) 412-9191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1093255275 |
|---|---|
| LBN Legal business name | Ahlstrom, Richard Thomas |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2017 |
| Last updated | Mar 11th, 2017 - about 8 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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