Soule, Thomas Gillette

Soule, Thomas Gillette is an sole proprietor health care provider with primary practice located at 1 Edgerton Park , Rochester NY 14608-1054. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Soule, Thomas Gillette can be contacted via phone (585) 787-0963.

Contact Information

Primary practice address
1 Edgerton Park Rochester NY 14608-1054
Phone: (585) 787-0963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X P044396-1 New York

Profile Details

NPI number 1245513548
LBN Legal business name Soule, Thomas Gillette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Oct 25th, 2011 - about 13 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 1245513548 NPPES
New York MEDICAID P044396-1

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