Thomas, Agnes

Thomas, Agnes is an individual health care provider with primary practice located at 960 Clague Rd Ste 2480 , Westlake OH 44145-1585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Agnes can be contacted via phone (440) 250-5370.

Contact Information

Primary practice address
960 Clague Rd Ste 2480 Westlake OH 44145-1585
Fax: (440) 250-2018
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35064691 Ohio

Profile Details

NPI number 1700878485
LBN Legal business name Thomas, Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 13th, 2021 - about 3 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 1700878485 NPPES
Ohio MEDICAID 0947542

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