Austin, Thomas Edward

Austin, Thomas Edward is an sole proprietor health care provider with primary practice located at 4141 Queen Emmas Dr , Princeville HI 96722-5541. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Austin, Thomas Edward can be contacted via phone (808) 652-2262.

Contact Information

Primary practice address
4141 Queen Emmas Dr Princeville HI 96722-5541
Fax: (808) 652-2262
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G19445 California

Profile Details

NPI number 1215915632
LBN Legal business name Austin, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Mar 6th, 2020 - about 5 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 1215915632 NPPES
New Mexico MEDICAID 16725
New Mexico Other 202003000
New Mexico Other 10002034

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