Pearson, Thomas C
Pearson, Thomas C is an sole proprietor health care provider with primary practice located at 444 William St , East Orange NJ 07017-2213. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pearson, Thomas C can be contacted via phone (973) 483-1300.Contact Information
Primary practice address
444 William St
East Orange NJ 07017-2213
Phone: (973) 483-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01178900 | New Jersey |
Profile Details
| NPI number | 1417084039 |
|---|---|
| LBN Legal business name | Pearson, Thomas C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1417084039 | NPPES |
| New Jersey | MEDICAID | D0000015700 |
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