Bascom, Thomas H
Bascom, Thomas H is an sole proprietor health care provider with primary practice located at 3355 Riverbend Dr. Suite 300 Peacehealth Surgical Specialies, Springfield OR 97477-8803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bascom, Thomas H can be contacted via phone (541) 222-8333.Contact Information
Primary practice address
3355 Riverbend Dr. Suite 300 Peacehealth Surgical Specialies
Springfield OR 97477-8803
Phone: (541) 222-8333
Fax: (541) 222-8320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD17205 | Oregon |
Profile Details
| NPI number | 1790714046 |
|---|---|
| LBN Legal business name | Bascom, Thomas H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Mar 6th, 2024 - about last year |
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 | 1790714046 | NPPES |
| Oregon | MEDICAID | 027834 |
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