Thomas, Diane M

Thomas, Diane M is an sole proprietor health care provider with primary practice located at 4868 Sparks Blvd Suite 102, Sparks NV 89436-8207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Diane M can be contacted via phone (775) 331-5023.

Contact Information

Primary practice address
4868 Sparks Blvd Suite 102 Sparks NV 89436-8207
Phone: (775) 331-5023
Fax: (775) 331-5031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9450 Nevada

Profile Details

NPI number 1124006044
LBN Legal business name Thomas, Diane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Jul 22nd, 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 1124006044 NPPES
Nevada Other 29D1015353 CLIA
Nevada Other DQ4188 CLIA
Nevada MEDICAID 002016817 CLIA

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