Dunlap, Thomas E
Dunlap, Thomas E is an individual health care provider with primary practice located at 3536 Mendocino Ave Ste 200, Santa Rosa CA 95403-3634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Dunlap, Thomas E can be contacted via phone (707) 573-6166.Contact Information
Primary practice address
3536 Mendocino Ave Ste 200
Santa Rosa CA 95403-3634
Phone: (707) 573-6166
Fax: (707) 573-6165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G44459 | California |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G44459 | California |
Profile Details
NPI number | 1932106002 |
---|---|
LBN Legal business name | Dunlap, Thomas E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Oct 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932106002 | NPPES |
California | Other | 00G444590 | BLUE SHIELD OF CALIFORNIA |
California | Other | 060016159 | BLUE SHIELD OF CALIFORNIA |
California | MEDICAID | 00G444590 | BLUE SHIELD OF CALIFORNIA |
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