Thomas, Adam

Thomas, Adam is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd , Coon Rapids MN 55433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thomas, Adam can be contacted via phone (763) 236-7144.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Coon Rapids MN 55433
Fax: (763) 236-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45628 Minnesota

Profile Details

NPI number 1679532758
LBN Legal business name Thomas, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 4th, 2010 - about 15 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 1679532758 NPPES
Minnesota MEDICAID 288673100
Minnesota Other 45628

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