Distelhorst, John Thomas
Distelhorst, John Thomas is an sole proprietor health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Distelhorst, John Thomas can be contacted via phone (706) 787-5811.Contact Information
Primary practice address
300 W Hospital Rd
Fort Gordon GA 30905-5741
Phone: (706) 787-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 01066943A | Indiana |
Profile Details
| NPI number | 1144486754 |
|---|---|
| LBN Legal business name | Distelhorst, John Thomas |
| Credentials | DO, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2008 |
| Last updated | Nov 9th, 2021 - about 3 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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