Holmes, Thomas Matthew
Holmes, Thomas Matthew is an sole proprietor health care provider with primary practice located at 465 Saint Michaels Dr Suite 118, Santa Fe NM 87505-7670. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Holmes, Thomas Matthew can be contacted via phone (505) 988-5120.Contact Information
Primary practice address
465 Saint Michaels Dr Suite 118
Santa Fe NM 87505-7670
Phone: (505) 988-5120
Fax: (505) 982-1812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 78-183 | New Mexico |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 78-183 | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 78-183 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 78-183 | New Mexico |
Profile Details
| NPI number | 1003844259 |
|---|---|
| LBN Legal business name | Holmes, Thomas Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003844259 | NPPES |
| New Mexico | Other | 11038668 | CAQH-UNITED |
| New Mexico | Other | 17187 | CAQH-UNITED |
| New Mexico | MEDICAID | 24604 | CAQH-UNITED |
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