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
Fax: (559) 369-7014
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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 1609006592 NPPES
Nevada MEDICAID 1609006592
Nevada Other CA365842

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