Dulos, Thomas Gregory

Dulos, Thomas Gregory is an sole proprietor health care provider with primary practice located at 1302 S Main St , Ottawa KS 66067-3527. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dulos, Thomas Gregory can be contacted via phone (785) 242-3707.

Contact Information

Primary practice address
1302 S Main St Ottawa KS 66067-3527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X KS 1167-3 Kansas

Profile Details

NPI number 1538123765
LBN Legal business name Dulos, Thomas Gregory
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated May 26th, 2016 - about 8 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 1538123765 NPPES
Kansas MEDICAID 100217840B

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