Mace, Thomas Paul
Mace, Thomas Paul is an sole proprietor health care provider with primary practice located at 1312 44Th Ave , Gulfport MS 39501-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mace, Thomas Paul can be contacted via phone (228) 538-5858.Contact Information
Primary practice address
1312 44Th Ave
Gulfport MS 39501-2552
Phone: (228) 538-5858
Fax: (228) 539-8327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 13995 | Mississippi |
Profile Details
| NPI number | 1609896976 |
|---|---|
| LBN Legal business name | Mace, Thomas Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 10th, 2020 - about 5 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 | 1609896976 | NPPES |
| Mississippi | MEDICAID | 00118131 |
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