Church, Thomas R.

Church, Thomas R. is an individual health care provider with primary practice located at 1125 Business Center Cir Suite B, Thousand Oaks CA 91320-1184. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Church, Thomas R. can be contacted via phone (805) 375-9100.

Contact Information

Primary practice address
1125 Business Center Cir Suite B Thousand Oaks CA 91320-1184
Fax: (805) 375-9920
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CADDE-CATC INTERN California

Profile Details

NPI number 1770600686
LBN Legal business name Church, Thomas R.
Credentials CADDE-CATC INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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