Habimana, Thomas

Habimana, Thomas is an individual health care provider with primary practice located at 3630 Guion Rd , Indianapolis IN 46222-1616. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Habimana, Thomas can be contacted via phone (317) 920-8439.

Contact Information

Primary practice address
3630 Guion Rd Indianapolis IN 46222-1616
Phone: (317) 920-8439
Fax: (317) 614-9655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1097396 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28122164A Indiana

Profile Details

NPI number 1902894074
LBN Legal business name Habimana, Thomas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 29th, 2024 - about 5 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 1902894074 NPPES
Kentucky Other 000000283641 ANTHEM BLUE SHIELD
Kentucky Other 430080249 ANTHEM BLUE SHIELD
Kentucky MEDICAID 200428210 ANTHEM BLUE SHIELD
Kentucky Other 50012416 ANTHEM BLUE SHIELD
Kentucky MEDICAID 74005273 ANTHEM BLUE SHIELD
Kentucky Other 2773493000 ANTHEM BLUE SHIELD

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