Thacker, Sunil R
Thacker, Sunil R is an individual health care provider with primary practice located at 1200 Eagle Ave Suite 100, Ocean NJ 07712. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thacker, Sunil R can be contacted via phone (732) 660-6200.Contact Information
Primary practice address
1200 Eagle Ave Suite 100
Ocean NJ 07712
Phone: (732) 660-6200
Fax: (732) 775-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA07218400 | New Jersey |
Profile Details
| NPI number | 1053455345 |
|---|---|
| LBN Legal business name | Thacker, Sunil R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | May 18th, 2018 - about 7 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 | 1053455345 | NPPES |
| New Jersey | Other | 20023925 | RAILROAD MEDICARE |
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