Fay, Thomas
Fay, Thomas is an individual health care provider with primary practice located at 6800 State Route 162 , Maryville IL 62062-8500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Fay, Thomas can be contacted via phone (618) 391-6140.Contact Information
Primary practice address
6800 State Route 162
Maryville IL 62062-8500
Phone: (618) 391-6140
Fax: (618) 288-2164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2020041595 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036160350 | Illinois |
Profile Details
NPI number | 1528592789 |
---|---|
LBN Legal business name | Fay, Thomas |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2017 |
Last updated | May 27th, 2022 - 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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