Dewald, Thomas E
Dewald, Thomas E is an sole proprietor health care provider with primary practice located at 1037 W Avenue N Suite 101, Lancaster CA 93551-2002. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dewald, Thomas E can be contacted via phone (661) 266-3500.Contact Information
Primary practice address
1037 W Avenue N Suite 101
Lancaster CA 93551-2002
Phone: (661) 266-3500
Fax: (661) 266-3591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | DC021669 | California |
Profile Details
| NPI number | 1194703827 |
|---|---|
| LBN Legal business name | Dewald, Thomas E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194703827 | NPPES |
| California | MEDICAID | DC021669 |
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