Montine, Thomas J
Montine, Thomas J is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Montine, Thomas J can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G143507 | California |
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | G143507 | California |
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | MD00041243 | Washington |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | G143507 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD00041243 | Washington |
Profile Details
| NPI number | 1902963119 |
|---|---|
| LBN Legal business name | Montine, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Mar 14th, 2024 - about last year |
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 | 1902963119 | NPPES |
| Washington | MEDICAID | 8365660 | |
| Washington | Other | G143507 | |
| Washington | Other | 0231594 | |
| Washington | Other | 220032668 | |
| Washington | Other | 294490 |
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