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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1689673477 | NPPES |
California | MEDICAID | 020A45330 | |
California | Other | 080075198 | |
California | Other | 020A45330 |
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