George, Thomas

George, Thomas is an individual health care provider with primary practice located at 555 W Oak St Ste 2 , Shelley ID 83274-1161. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. George, Thomas can be contacted via phone (240) 308-1771.

Contact Information

Primary practice address
555 W Oak St Ste 2 Shelley ID 83274-1161
Phone: (240) 308-1771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X R216085 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R216085 Maryland

Profile Details

NPI number 1417338930
LBN Legal business name George, Thomas
Credentials DNP, CRNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Jun 12th, 2024 - about 6 months 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 1417338930 NPPES
Maryland MEDICAID 926580503

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