Thomas, David Mark
Thomas, David Mark is an individual health care provider with primary practice located at 545 Brandies Cir , Murfreesboro TN 37128. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thomas, David Mark can be contacted via phone (615) 295-2176.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 169249 | Kentucky |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC1910 | Tennessee |
Profile Details
NPI number | 1164463766 |
---|---|
LBN Legal business name | Thomas, David Mark |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Jun 17th, 2019 - about 5 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 | 1164463766 | NPPES |
Kentucky | MEDICAID | 7100443270 | |
Kentucky | MEDICAID | 5441170 |
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