Carmody, Thomas C

Carmody, Thomas C is an individual health care provider with primary practice located at 2801 K St Ste 310 , Sacramento CA 95816-5119. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Carmody, Thomas C can be contacted via phone (916) 454-6677.

Contact Information

Primary practice address
2801 K St Ste 310 Sacramento CA 95816-5119
Phone: (916) 454-6677
Fax: (916) 733-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OPA137830 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X OPA137830 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OPA137830 California

Profile Details

NPI number 1184731713
LBN Legal business name Carmody, Thomas C
Credentials P.A.,C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 2nd, 2016 - about 9 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 1184731713 NPPES
California MEDICAID GR0064540
California Other P00165306
California Other ZZZ00355Z
California Other 170865900

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