Namaya, Thom

Namaya, Thom is an individual health care provider with primary practice located at 773 Guilford St , Brattleboro VT 05301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Namaya, Thom can be contacted via phone (802) 254-4765.

Contact Information

Primary practice address
773 Guilford St Brattleboro VT 05301
Phone: (802) 254-4765
Fax: (802) 254-1092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010022347 Vermont

Profile Details

NPI number 1346345329
LBN Legal business name Namaya, Thom
Credentials FNP DSC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
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 1346345329 NPPES
Vermont MEDICAID 0NP0772
Vermont Other 29578

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