Thomas, Dale Floyd
Thomas, Dale Floyd is an individual health care provider with primary practice located at 1400 Bellinger St , Eau Claire WI 54703-5222. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thomas, Dale Floyd can be contacted via phone (715) 838-5222.Contact Information
Primary practice address
1400 Bellinger St
Eau Claire WI 54703-5222
Phone: (715) 838-5222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1069 | Wisconsin |
Profile Details
| NPI number | 1295785806 |
|---|---|
| LBN Legal business name | Thomas, Dale Floyd |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 4th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295785806 | NPPES |
| Wisconsin | MEDICAID | 39039800 |
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