Summerson, Thomas

Summerson, Thomas is an individual health care provider with primary practice located at 4606 Admiral Peary Hwy , Ebensburg PA 15931-4203. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Summerson, Thomas can be contacted via phone (814) 472-5312.

Contact Information

Primary practice address
4606 Admiral Peary Hwy Ebensburg PA 15931-4203
Phone: (814) 472-5312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP449136 Pennsylvania

Profile Details

NPI number 1154729416
LBN Legal business name Summerson, Thomas
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Apr 1st, 2019 - about 6 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 1154729416 NPPES
Pennsylvania Other RP449136 STATE LICENSE NUMBER

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