Thomas, Clayton
Thomas, Clayton is an sole proprietor health care provider with primary practice located at 402 Cumberland Ave , Williamsburg KY 40769-1238. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Clayton can be contacted via phone (606) 549-2656.Contact Information
Primary practice address
402 Cumberland Ave
Williamsburg KY 40769-1238
Phone: (606) 549-2656
Fax: (606) 549-2855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3108 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2058 | Kentucky |
Profile Details
NPI number | 1487023248 |
---|---|
LBN Legal business name | Thomas, Clayton |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 22nd, 2015 |
Last updated | May 10th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487023248 | NPPES |
Kentucky | MEDICAID | 7100405120 | |
Kentucky | MEDICAID | Q026771 | |
Kentucky | Other | 2058 | |
Kentucky | Other | 3108 |
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