Bachinski, Thomas Laverne

Bachinski, Thomas Laverne is an individual health care provider with primary practice located at 2101 Ken Pratt Blvd Suite 104, Longmont CO 80501-6567. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bachinski, Thomas Laverne can be contacted via phone (303) 415-4157.

Contact Information

Primary practice address
2101 Ken Pratt Blvd Suite 104 Longmont CO 80501-6567
Phone: (303) 415-4157
Fax: (303) 776-3102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0000246 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0000246 Colorado

Profile Details

NPI number 1679654909
LBN Legal business name Bachinski, Thomas Laverne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 24th, 2017 - about 7 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 1679654909 NPPES
Colorado MEDICAID 07002462

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