Choctaw, William Thomas

Choctaw, William Thomas is an individual health care provider with primary practice located at 315 N 3Rd Ave , Covina CA 91723-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Choctaw, William Thomas can be contacted via phone (626) 938-1165.

Contact Information

Primary practice address
315 N 3Rd Ave Covina CA 91723-1915
Phone: (626) 938-1165
Fax: (626) 938-1172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G029056 California

Profile Details

NPI number 1013957950
LBN Legal business name Choctaw, William Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 15th, 2013 - 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 1013957950 NPPES
California MEDICAID 00G290560

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