Poore, Thomas Edwin

Poore, Thomas Edwin is an individual health care provider with primary practice located at 1601 Ygnacio Valley Rd # 201 , Walnut Creek CA 94598-3122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Poore, Thomas Edwin can be contacted via phone (925) 947-5392.

Contact Information

Primary practice address
1601 Ygnacio Valley Rd # 201 Walnut Creek CA 94598-3122
Phone: (925) 947-5392
Fax: (925) 947-3206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G29878 California

Profile Details

NPI number 1306927629
LBN Legal business name Poore, Thomas Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306927629 NPPES
California Other 00G298781 PPIN-MEDICARE
California MEDICAID GR0060540 PPIN-MEDICARE

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