Jacques, Thomas John
Jacques, Thomas John is an individual health care provider with primary practice located at 5771 N Fresno St , Fresno CA 93710-6091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jacques, Thomas John can be contacted via phone (595) 272-1295.Contact Information
Primary practice address
5771 N Fresno St
Fresno CA 93710-6091
Phone: (595) 272-1295
Fax: (559) 369-7014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 13910 | Nevada |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A104289 | California |
Profile Details
NPI number | 1609006592 |
---|---|
LBN Legal business name | Jacques, Thomas John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2009 |
Last updated | Jan 30th, 2020 - about 5 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 | 1609006592 | NPPES |
Nevada | MEDICAID | 1609006592 | |
Nevada | Other | CA365842 |
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