Rousseau, Thomas G
Rousseau, Thomas G is an individual health care provider with primary practice located at 1 Elliot Way Radiology Department, Manchester NH 03103-3502. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rousseau, Thomas G can be contacted via phone (603) 663-2850.Contact Information
Primary practice address
1 Elliot Way Radiology Department
Manchester NH 03103-3502
Phone: (603) 663-2850
Fax: (603) 663-1849
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 426P | New Hampshire |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 426P | New Hampshire |
Profile Details
NPI number | 1659420891 |
---|---|
LBN Legal business name | Rousseau, Thomas G |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659420891 | NPPES |
New Hampshire | MEDICAID | 30331918 |
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