Laney, Thomas Joachim
Laney, Thomas Joachim is an sole proprietor health care provider with primary practice located at 1308 S Pioneer Way , Moses Lake WA 98837-2410. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Laney, Thomas Joachim can be contacted via phone (509) 765-5141.Contact Information
Primary practice address
1308 S Pioneer Way
Moses Lake WA 98837-2410
Phone: (509) 765-5141
Fax: (509) 765-5891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE00005663 | Washington |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD00024468 | Washington |
Profile Details
NPI number | 1295943595 |
---|---|
LBN Legal business name | Laney, Thomas Joachim |
Credentials | D.D.S. , M.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1295943595 | NPPES |
Washington | MEDICAID | 1035674 | |
Washington | Other | 141393 | |
Washington | MEDICAID | 5005343 |
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