Jimmie, Thomas Andrew

Jimmie, Thomas Andrew is an individual health care provider with primary practice located at 839 Chief Eddie Hoffman Hwy , Bethel AK 99559-0528. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Jimmie, Thomas Andrew can be contacted via phone (907) 543-2740.

Contact Information

Primary practice address
839 Chief Eddie Hoffman Hwy Bethel AK 99559-0528
Phone: (907) 543-2740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1275926586
LBN Legal business name Jimmie, Thomas Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2015
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275926586 NPPES
Alaska MEDICAID 1020986

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