Thomas, David J

Thomas, David J is an individual health care provider with primary practice located at 8423 Market St Ste 205, Boardman OH 44512-6778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, David J can be contacted via phone (330) 729-1860.

Contact Information

Primary practice address
8423 Market St Ste 205 Boardman OH 44512-6778
Fax: (330) 729-1861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS015203 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.008080 Ohio

Profile Details

NPI number 1346218096
LBN Legal business name Thomas, David J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 1st, 2017 - about 8 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 1346218096 NPPES
Pennsylvania MEDICAID 101429830 0002
Pennsylvania MEDICAID 252198

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