Moore, Thomas Holmes

Moore, Thomas Holmes is an individual health care provider with primary practice located at 5300 Snyder Ln Ste A, Rohnert Park CA 94928-2915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Thomas Holmes can be contacted via phone (707) 585-8347.

Contact Information

Primary practice address
5300 Snyder Ln Ste A Rohnert Park CA 94928-2915
Phone: (707) 585-8347
Fax: (707) 585-8056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A4533 California

Profile Details

NPI number 1689673477
LBN Legal business name Moore, Thomas Holmes
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673477 NPPES
California MEDICAID 020A45330
California Other 080075198
California Other 020A45330

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