Givens, Thomas G

Givens, Thomas G is an individual health care provider with primary practice located at 3015 Highway 95 Suite 105, Bullhead City AZ 86442-4334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Givens, Thomas G can be contacted via phone (928) 763-2001.

Contact Information

Primary practice address
3015 Highway 95 Suite 105 Bullhead City AZ 86442-4334
Phone: (928) 763-2001
Fax: (928) 763-2038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3004 Arizona

Profile Details

NPI number 1659370476
LBN Legal business name Givens, Thomas G
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 14th, 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 1659370476 NPPES
Arizona MEDICAID 872798

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