Thomas, Carol

Thomas, Carol is an individual health care provider with primary practice located at 124 Nw Midland Ave Ste J, Grants Pass OR 97526-1269. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thomas, Carol can be contacted via phone (541) 476-8859.

Contact Information

Primary practice address
124 Nw Midland Ave Ste J Grants Pass OR 97526-1269
Phone: (541) 476-8859
Fax: (541) 955-8611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 099007166N1 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 099007166 Oregon

Profile Details

NPI number 1093715930
LBN Legal business name Thomas, Carol
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated May 18th, 2018 - about 6 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 1093715930 NPPES
Oregon MEDICAID 212874

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