Thomas, Deanetta Denise

Thomas, Deanetta Denise is an individual health care provider with primary practice located at 1417 Saratoga Ave Ne , Washington DC 20018-1923. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Thomas, Deanetta Denise can be contacted via phone (202) 440-7204.

Contact Information

Primary practice address
1417 Saratoga Ave Ne Washington DC 20018-1923
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 1963374 District of Columbia

Profile Details

NPI number 1659947885
LBN Legal business name Thomas, Deanetta Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2021
Last updated May 28th, 2021 - about 4 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 1659947885 NPPES
District of Columbia MEDICAID 90867031

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