Thacker, Stephen W.
Thacker, Stephen W. is an sole proprietor health care provider with primary practice located at 340 W Central Ave Ste 110 Attention: Maggie Noles, Brea CA 92821-3006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thacker, Stephen W. can be contacted via phone (714) 529-3971.Contact Information
Primary practice address
340 W Central Ave Ste 110 Attention: Maggie Noles
Brea CA 92821-3006
Phone: (714) 529-3971
Fax: (714) 529-1070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5071 | California |
Profile Details
| NPI number | 1003854274 |
|---|---|
| LBN Legal business name | Thacker, Stephen W. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 16th, 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 | 1003854274 | NPPES |
| California | MEDICAID | 00AX50710 |
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