Thomas, Fred Nicholas
Thomas, Fred Nicholas is an sole proprietor health care provider with primary practice located at 2205 Executive Dr Ste A , Hampton VA 23666-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thomas, Fred Nicholas can be contacted via phone (757) 223-4992.Contact Information
Primary practice address
2205 Executive Dr Ste A
Hampton VA 23666-2948
Phone: (757) 223-4992
Fax: (757) 223-5350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101238297 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101238297 | Virginia |
Profile Details
| NPI number | 1518958420 |
|---|---|
| LBN Legal business name | Thomas, Fred Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 11th, 2022 - about 3 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 | 1518958420 | NPPES |
| Virginia | MEDICAID | 1518958420 |
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