Dake, Thomas S

Dake, Thomas S is an individual health care provider with primary practice located at 2308 Country Club Ln , Columbia TN 38401-5172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dake, Thomas S can be contacted via phone (931) 388-6059.

Contact Information

Primary practice address
2308 Country Club Ln Columbia TN 38401-5172
Phone: (931) 388-6059
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7928 Tennessee

Profile Details

NPI number 1861507782
LBN Legal business name Dake, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 25th, 2012 - about 12 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 1861507782 NPPES
Tennessee MEDICAID 3710084
Tennessee MEDICAID 3152490
Tennessee MEDICAID 31524901
Tennessee Other 3151739
Tennessee MEDICAID 3710089

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