Gitchel, Thomas Wallace

Gitchel, Thomas Wallace is an sole proprietor health care provider with primary practice located at 9470 Hunt Rd , St Louisville OH 43071-9758. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Related Providers / Nurse's Aide. Nursing Service Providers / Registered Nurse is his primary health care specialty. Gitchel, Thomas Wallace can be contacted via phone (317) 695-0153.

Contact Information

Primary practice address
9470 Hunt Rd St Louisville OH 43071-9758
Phone: (317) 695-0153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 377484 Ohio
Nursing Service Related Providers / Nurse's Aide 376K00000X 400929290609 Ohio

Profile Details

NPI number 1558616680
LBN Legal business name Gitchel, Thomas Wallace
Credentials STNA, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2012
Last updated Jul 15th, 2012 - about 12 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 1558616680 NPPES
Ohio MEDICAID 2991615

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