Kraft, Thomas A.

Kraft, Thomas A. is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kraft, Thomas A. can be contacted via phone (209) 550-4720.

Contact Information

Primary practice address
1409 E Briggsmore Ave Modesto CA 95355-2707
Phone: (209) 550-4720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA12920 California

Profile Details

NPI number 1306895651
LBN Legal business name Kraft, Thomas A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Aug 31st, 2010 - 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 1306895651 NPPES
California MEDICAID 0PA129200

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