Bryan, Thomas Benedict

Bryan, Thomas Benedict is an sole proprietor health care provider with primary practice located at 3351 M Street Ste 120, Merced CA 95348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bryan, Thomas Benedict can be contacted via phone (209) 383-5999.

Contact Information

Primary practice address
3351 M Street Ste 120 Merced CA 95348
Phone: (209) 383-5999
Fax: (209) 383-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X A300690 California

Profile Details

NPI number 1497768170
LBN Legal business name Bryan, Thomas Benedict
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Feb 25th, 2014 - about 11 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 1497768170 NPPES
California MEDICAID 00A300690

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