Miklusak, Thomas Alan
Miklusak, Thomas Alan is an sole proprietor health care provider with primary practice located at 180 S Lake Ave Suite 255, Pasadena CA 91101. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Psychoanalysis is his primary health care specialty. Miklusak, Thomas Alan can be contacted via phone (626) 792-9949.Contact Information
Primary practice address
180 S Lake Ave Suite 255
Pasadena CA 91101
Phone: (626) 792-9949
Fax: (818) 952-5360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C35318 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | C35318 | California |
Profile Details
NPI number | 1669564175 |
---|---|
LBN Legal business name | Miklusak, Thomas Alan |
Credentials | MD PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2006 |
Last updated | Oct 6th, 2009 - about 15 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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