Mundorff, Thomas Nelson
Mundorff, Thomas Nelson is an individual health care provider with primary practice located at 2721 Olive Hwy Ste 12, Oroville CA 95966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mundorff, Thomas Nelson can be contacted via phone (530) 533-6061.Contact Information
Primary practice address
2721 Olive Hwy Ste 12
Oroville CA 95966
Phone: (530) 533-6061
Fax: (530) 533-4438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G25438 | California |
Profile Details
| NPI number | 1154385383 |
|---|---|
| LBN Legal business name | Mundorff, Thomas Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1154385383 | NPPES |
| California | Other | G25438 | STATE LICENSE |
| California | MEDICAID | GR0014101 | STATE LICENSE |
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