Johans, Thomas G

Johans, Thomas G is an individual health care provider with primary practice located at 1070 Old Des Peres Rd , Saint Louis MO 63131-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Johans, Thomas G can be contacted via phone (636) 386-9224.

Contact Information

Primary practice address
1070 Old Des Peres Rd Saint Louis MO 63131-1865
Phone: (636) 386-9224
Fax: (636) 386-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35820 Missouri

Profile Details

NPI number 1194720037
LBN Legal business name Johans, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 25th, 2011 - about 14 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 1194720037 NPPES
Missouri MEDICAID 201059110

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