Thomas, Bobby

Thomas, Bobby is an individual health care provider with primary practice located at 24126 85Th Rd , Bellerose NY 11426-1247. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Thomas, Bobby can be contacted via phone (516) 513-4076.

Contact Information

Primary practice address
24126 85Th Rd Bellerose NY 11426-1247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 767325 New York

Profile Details

NPI number 1588275747
LBN Legal business name Thomas, Bobby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2020
Last updated Aug 12th, 2020 - about 4 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 1588275747 NPPES
New York MEDICAID 767325

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