Herron, Thomas M
Herron, Thomas M is an sole proprietor health care provider with primary practice located at 4700 Point Fosdick Dr Nw Suite 319, Gig Harbor WA 98335-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Herron, Thomas M can be contacted via phone (253) 853-3888.Contact Information
Primary practice address
4700 Point Fosdick Dr Nw Suite 319
Gig Harbor WA 98335-1706
Phone: (253) 853-3888
Fax: (253) 853-7393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00023767 | Washington |
Profile Details
| NPI number | 1689690448 |
|---|---|
| LBN Legal business name | Herron, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 12th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689690448 | NPPES |
| Virginia | MEDICAID | 1017995 |
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