Bouasy, Thomas

Bouasy, Thomas is an individual health care provider with primary practice located at 400 Old River Rd , Bakersfield CA 93311-9781. 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. Bouasy, Thomas can be contacted via phone (661) 663-6275.

Contact Information

Primary practice address
400 Old River Rd Bakersfield CA 93311-9781
Fax: (661) 326-8022
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17818 California

Profile Details

NPI number 1740269026
LBN Legal business name Bouasy, Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated May 10th, 2011 - about 13 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 1740269026 NPPES
California Other AO427Y MEDICARE PTAN-TRUXTUN
California Other AO427X MEDICARE PTAN-TRUXTUN
California Other AO427Z MEDICARE PTAN-TRUXTUN
California MEDICAID PA17818 MEDICARE PTAN-TRUXTUN

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